Montgomery Medical Equipment, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MONTGOMERY MEDICAL EQUIPMENT, INC.

Practice address

103 S Richardson St
Mount Vernon, GA 30445-2611

Phone

(912) 583-2855

Fax

(912) 583-4945

NPI assigned

Jun 28, 2005

Organization subpart

No

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

Authorized official

Name

Mr. David P. Crowson, MT (ASCP)

Title

Coo

Phone

(912) 583-2855

Specialties & licenses 5

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340150400000",
    "number": "1497751077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 884",
            "city": "MOUNT VERNON",
            "state": "GA",
            "postal_code": "304450884",
            "telephone_number": "912-583-2855",
            "fax_number": "912-583-4945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 S RICHARDSON ST",
            "city": "MOUNT VERNON",
            "state": "GA",
            "postal_code": "304452611",
            "telephone_number": "912-583-2855",
            "fax_number": "912-583-4945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTGOMERY MEDICAL EQUIPMENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-28",
        "last_updated": "2012-06-20",
        "status": "A",
        "authorized_official_last_name": "CROWSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "912-583-2855",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MT (ASCP)"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "GA",
            "license": "PHRE008058",
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "GA",
            "license": "C16488",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000426467A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000426467B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mabd Enterprises, LLC
• Shonda Lafaye Madison, LPC
• Amber McArthur, LMSW
• Meadows Regional Medical Center
• Montgomery County Board of Education
• Mount Vernon Drug Company
• Road to Success
• Road to Success
• Steve Jason Sanders, PHARMD
• Jessica Beth Spires

• Durable Medical Equipment & Medical Supplies in Mount Vernon, GA
• Providers in Mount Vernon, GA by specialty
• Durable Medical Equipment & Medical Supplies in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2012; 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.