DME by Preventive Health Care USA LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

DME BY PREVENTIVE HEALTH CARE USA LLC

Practice address

1572 Highway 85 N Ste 211
Fayetteville, GA 30214-7726

Phone

(678) 371-2952

NPI assigned

Jun 6, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Gary Anthony Clowers Sr.

Title

Single Managing Member

Phone

(678) 371-2952

Specialties & licenses 1

Addresses

Other names 1

• DME by Preventive Health Care USA LLC Former legal business name

Electronic endpoints 1

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

{
    "created_epoch": "1559779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728864000000",
    "number": "1497314249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1572 HIGHWAY 85 N STE 211",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302147726",
            "telephone_number": "678-371-2952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1572 HIGHWAY 85 N STE 211",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302147726",
            "telephone_number": "678-371-2952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DME BY PREVENTIVE HEALTH CARE USA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-06",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A",
        "authorized_official_last_name": "CLOWERS",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "SINGLE MANAGING MEMBER",
        "authorized_official_telephone_number": "678-371-2952",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "g.clowers@preventivehealthcareusa.com",
            "affiliation": "N",
            "endpointDescription": "Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1572 Highway 85 N Ste 211",
            "city": "Fayetteville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "302147726",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "DME by Preventive Health Care USA LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "DME by Preventive Health Care USA LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Fayetteville, GA
• Providers in Fayetteville, GA by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2024; 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.