Active NPI
Southern Medical Equipment Inc.
- Durable Medical Equipment & Medical Supplies
- Atlanta, GA
National Provider Identifier
1477552859
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 077086LGB
- Legal business name
- SOUTHERN MEDICAL EQUIPMENT INC.
- Practice address
- 573 Juniper St NE
Suite B
Atlanta, GA 30308-2387 - Phone
- (404) 874-0082
- Fax
- (404) 874-2666
- NPI assigned
- Jul 19, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Renee Catherine McPhee, RT
- Title
- Ceo/Respiratory Therapist
- Phone
- (404) 874-0082
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 077086LGB | GA | Primary |
Addresses
Primary practice location
573 Juniper St NE
Suite B
Atlanta, GA 30308-2387
Mailing address
573 Juniper St NE
Suite B
Atlanta, GA 30308-2387
Phone (404) 874-0082
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00770327C | Medicaid | GA | |
| 00770327A | Medicaid | GA |
National Provider Directory
National Provider DirectoryLocations
573 Juniper St NE
Ste B
Atlanta, GA 30308
Phone (404) 874-0082
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121731200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1477552859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "573 JUNIPER ST NE",
"address_2": "SUITE B",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303082387",
"telephone_number": "404-874-0082",
"fax_number": "404-874-2666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "573 JUNIPER ST NE",
"address_2": "SUITE B",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303082387",
"telephone_number": "404-874-0082",
"fax_number": "404-874-2666"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHERN MEDICAL EQUIPMENT INC.",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-19",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MCPHEE",
"authorized_official_first_name": "RENEE",
"authorized_official_middle_name": "CATHERINE",
"authorized_official_title_or_position": "CEO/RESPIRATORY THERAPIST",
"authorized_official_telephone_number": "404-874-0082",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "RT"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "GA",
"license": "077086LGB",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00770327C",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00770327A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
- Southern Home Care Services, Inc.
- Southern Home Care Services, Inc.
- Southern Home Care Services, LLC
- Southern Live Oak Wellness Academy LLC
- Southern Live Oak Wellness Psychiatric Services LLC
- Southern Oaks Healthcare Inc
- Southern Pain and Spine Associates, LLC
- Southern Pain Institute, PC
- Southern Peach Dental PC
- Southern Powerhouse Logistics
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.