NPIMap

Organization Active NPI

NRC Medicals Supplies, LLC

  • Durable Medical Equipment & Medical Supplies
  • Lawrenceville, GA
National Provider Identifier
1487860532
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
20019192637 Issued in GA
Legal business name
NRC MEDICALS SUPPLIES, LLC
Practice address
368 W Pike St
Suite 204 B
Lawrenceville, GA 30045-3240
Phone
(678) 985-1989
Fax
(770) 755-5682
NPI assigned
May 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Terry Tipton Kwakumey
Title
Owner
Phone
(678) 985-1989

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 20019192637 GA Primary

Addresses

Primary practice location

368 W Pike St
Suite 204 B
Lawrenceville, GA 30045-3240

Mailing address

368 W Pike St
Suite 204 B
Lawrenceville, GA 30045-3240
Phone (678) 985-1989

National Provider Directory

National Provider Directory

Locations

368 W Pike St
Ste 204
Lawrenceville, GA 30046
Phone (770) 755-5278

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487860532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "368 W PIKE ST",
            "address_2": "SUITE 204 B",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300453240",
            "telephone_number": "678-985-1989",
            "fax_number": "770-755-5682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "368 W PIKE ST",
            "address_2": "SUITE 204 B",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300453240",
            "telephone_number": "678-985-1989",
            "fax_number": "770-755-5682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NRC MEDICALS SUPPLIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KWAKUMEY",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "TIPTON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-985-1989"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "GA",
            "license": "20019192637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

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.

Verify at the official NPI Registry.