Durable Medical and Diabetic Solutions Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

20013670463 Issued in GA

Legal business name

DURABLE MEDICAL AND DIABETIC SOLUTIONS INC.

Practice address

1306 Heidt Ave
Suite D
Garden City, GA 31408-2668

Phone

(912) 966-0807

Fax

(912) 966-0097

NPI assigned

Oct 3, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Charles Martin McBride Jr., ATS

Title

President

Phone

(912) 429-9292

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487748414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1306 HEIDT AVE",
            "address_2": "SUITE D",
            "city": "GARDEN CITY",
            "state": "GA",
            "postal_code": "314082668",
            "telephone_number": "912-966-0807",
            "fax_number": "912-966-0097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1306 HEIDT AVE",
            "address_2": "SUITE D",
            "city": "GARDEN CITY",
            "state": "GA",
            "postal_code": "314082668",
            "telephone_number": "912-966-0807",
            "fax_number": "912-966-0097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DURABLE MEDICAL AND DIABETIC SOLUTIONS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCBRIDE",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "912-429-9292",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "ATS"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "GA",
            "license": "20013670463",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DE1987",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• 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.

Verify at the official NPI Registry.