Active NPI
Damon Iler
- Durable Medical Equipment & Medical Supplies
- Marietta, GA
National Provider Identifier
1487183224
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Practice address
- 428 Marble Mill Rd NW Unit a
Marietta, GA 30060 - Phone
- (770) 609-0109
- NPI assigned
- Jun 6, 2017
- Last updated
- Jun 6, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
428 Marble Mill Rd NW Unit a
Marietta, GA 30060
Mailing address
1700 Harvest Cir
Alpharetta, GA 30004-5320
Phone (678) 267-6299
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1496707200000",
"number": "1487183224",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1700 HARVEST CIR",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300045320",
"telephone_number": "678-267-6299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "428 MARBLE MILL RD NW UNIT A",
"city": "MARIETTA",
"state": "GA",
"postal_code": "30060",
"telephone_number": "770-609-0109"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ILER",
"first_name": "DAMON",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-06-06",
"last_updated": "2017-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.