Active NPI
Midwest Medical Associates, Inc.
- Durable Medical Equipment & Medical Supplies
- Atlanta, GA
National Provider Identifier
1487801692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- MIDWEST MEDICAL ASSOCIATES, INC.
- Practice address
- 2295 Parklake Drive
Suite 100
Atlanta, GA 30345-2816 - Phone
- (877) 593-3546
- Fax
- (877) 593-9689
- NPI assigned
- Aug 20, 2008
- 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
- Richard Parker
- Title
- Ceo
- Phone
- (843) 696-0663
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
2295 Parklake Drive
Suite 100
Atlanta, GA 30345-2816
Mailing address
2295 Parklake Drive
Suite 100
Atlanta, GA 30345-2816
Phone (843) 696-0663
Other practice location 1
3934 Fm 1960 Rd W Ste 300L
Houston, TX 77068-3545
Phone (832) 666-7696
Other practice location 2
211 King St Ste 103
Charleston, SC 29401-3184
Phone (877) 593-3546
Other names 1
- Southern Medical Associates, Inc.
National Provider Directory
National Provider DirectoryLocations
5050 Research Ct
Ste 650
Suwanee, GA 30024
Phone (877) 414-4260
211 King St
Ste 103
Charleston, SC 29401
Phone (877) 414-4260
3934 FM 1960 Rd W
Ste 300L
Houston, TX 77068
Phone (832) 666-7696
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219190400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1660694400000",
"number": "1487801692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2295 PARKLAKE DRIVE",
"address_2": "SUITE 100",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303452816",
"telephone_number": "843-696-0663",
"fax_number": "678-578-6252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2295 PARKLAKE DRIVE",
"address_2": "SUITE 100",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303452816",
"telephone_number": "877-593-3546",
"fax_number": "877-593-9689"
}
],
"practiceLocations": [
{
"address_1": "3934 Fm 1960 Rd W Ste 300L",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770683545",
"country_code": "US",
"telephone_number": "832-666-7696",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "211 King St Ste 103",
"address_purpose": "LOCATION",
"city": "Charleston",
"state": "SC",
"postal_code": "294013184",
"country_code": "US",
"telephone_number": "877-593-3546",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "MIDWEST MEDICAL ASSOCIATES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-08-20",
"last_updated": "2022-08-17",
"certification_date": "2022-08-17",
"status": "A",
"authorized_official_last_name": "PARKER",
"authorized_official_first_name": "RICHARD",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "843-696-0663"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Southern Medical Associates, Inc.",
"code": "4",
"type": "Former Legal Business Name"
},
{
"organization_name": "Southern Medical Associates, Inc.",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Atlanta, GA
- Midtown Urology PC
- Midtown Urology Surgical Center, PC
- Midtown Wellness Group, Inc.
- Midtown West Medical, PC
- Midwest Compression, LLC
- Midwest Medical DME Enterprises, LLC
- Midwest Medical DME Services, LLC
- Midwest Medical Enterprises, LLC
- Midwest Medical Services LLC Fka ASC Services LLC
- Kimberly M Miechiels, PAC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.