Organization Active NPI

Midwest Medical Associates, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Atlanta, GA
National Provider Identifier
1487801692
Registry record updated Aug 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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

Updated by the provider on Aug 17, 2022

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)CodeLicenseStatePrimary
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. Former legal business name

National Provider Directory

National Provider Directory

Locations

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

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.

Verify at the official NPI Registry.