Active NPI
1St America Home Medical Equipment
- Durable Medical Equipment & Medical Supplies
- Valdosta, GA
National Provider Identifier
1487988812
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- 1ST AMERICA HOME MEDICAL EQUIPMENT
- Practice address
- 2717 Windemere Dr
Ste a
Valdosta, GA 31602-1686 - Phone
- (229) 242-1000
- Fax
- (229) 242-2120
- NPI assigned
- Oct 2, 2009
- Last updated
- Nov 4, 2010
- Organization subpart
- Yes
- Parent organization
- 1ST AMERICA HOME MEDICAL EQUIPMENT
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jeff Sikes, RPH
- Title
- Owner
- Phone
- (229) 242-3060
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
2717 Windemere Dr
Ste a
Valdosta, GA 31602-1686
Mailing address
212 Northside Dr
Valdosta, GA 31602-1858
Phone (229) 242-1000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00339248B | Medicaid | GA | |
| 00339248C | Medicaid | GA |
National Provider Directory
National Provider Directory- Part of
- 1St America Home Medical Equipment
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Oxygen Equipment & Supplies (DME)
- Valdosta, GA
- NPI 1942241849
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254441600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1288828800000",
"number": "1487988812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "212 NORTHSIDE DR",
"city": "VALDOSTA",
"state": "GA",
"postal_code": "316021858",
"telephone_number": "229-242-1000",
"fax_number": "229-242-2120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2717 WINDEMERE DR",
"address_2": "STE A",
"city": "VALDOSTA",
"state": "GA",
"postal_code": "316021686",
"telephone_number": "229-242-1000",
"fax_number": "229-242-2120"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "1ST AMERICA HOME MEDICAL EQUIPMENT",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "1ST AMERICA HOME MEDICAL EQUIPMENT",
"enumeration_date": "2009-10-02",
"last_updated": "2010-11-04",
"status": "A",
"authorized_official_last_name": "SIKES",
"authorized_official_first_name": "JEFF",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "229-242-3060",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00339248B",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00339248C",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Valdosta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.