Organization Active NPI

Value Medical, Inc

  • Durable Medical Equipment & Medical Supplies
  • Piedmont, SC
National Provider Identifier
1497801245
Registry record updated Aug 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
VALUE MEDICAL, INC
Practice address
107 Kiowa LN
Piedmont, SC 29673-6751
Phone
(800) 861-4965
Fax
(888) 448-1725
NPI assigned
Jan 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2018

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

Authorized official

Name
Mr. Thomas Brady Stoughton, JURIS DOCTOR
Title
Principal
Phone
(404) 475-1202

Specialties & licenses 1

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

Addresses

Primary practice location

107 Kiowa LN
Piedmont, SC 29673-6751

Mailing address

107 Kiowa LN
Piedmont, SC 29673-6751
Phone (800) 861-4965

Other identifiers 6

IdentifierTypeStateIssuer
812677065AMedicaidGA
90062605MedicaidKY
000Z4355MedicaidNM
406066100MedicaidMD
7169610MedicaidPA
DM0832MedicaidSC

National Provider Directory

National Provider Directory

Locations

304 Lucas St
Mt Pleasant, SC 29464
Phone (843) 884-7118

Practitioners & affiliated clinicians

Practitioners 1

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": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534464000000",
    "number": "1497801245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 KIOWA LN",
            "city": "PIEDMONT",
            "state": "SC",
            "postal_code": "296736751",
            "telephone_number": "800-861-4965",
            "fax_number": "888-448-1725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 KIOWA LN",
            "city": "PIEDMONT",
            "state": "SC",
            "postal_code": "296736751",
            "telephone_number": "800-861-4965",
            "fax_number": "888-448-1725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALUE MEDICAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2018-08-17",
        "status": "A",
        "authorized_official_last_name": "STOUGHTON",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "BRADY",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "404-475-1202",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "JURIS DOCTOR"
    },
    "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": "812677065A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90062605",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000Z4355",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "406066100",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7169610",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DM0832",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Piedmont, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2018; 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.