Organization Active NPI

Match Medical Supplies Inc.

  • Durable Medical Equipment & Medical Supplies
  • Norcross, GA
National Provider Identifier
1497862262
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MATCH MEDICAL SUPPLIES INC.
Practice address
7001 Peachtree Industrial Blvd
Suite 400J
Norcross, GA 30092-3673
Phone
(770) 416-0820
Fax
(770) 416-0845
NPI assigned
Aug 25, 2006
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
Mr. Okem Max Akwiwu
Title
Owner
Phone
(770) 416-0820

Specialties & licenses 1

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

Addresses

Primary practice location

7001 Peachtree Industrial Blvd
Suite 400J
Norcross, GA 30092-3673

Mailing address

PO Box 1767
Norcross, GA 30091-1767
Phone (770) 416-0820

National Provider Directory

National Provider Directory

Locations

7001 Peachtree Industrial Blvd
Ste 400J
Norcross, GA 30092
Phone (770) 416-0820

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497862262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1767",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300911767",
            "telephone_number": "770-416-0820",
            "fax_number": "770-416-8045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7001 PEACHTREE INDUSTRIAL BLVD",
            "address_2": "SUITE 400J",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300923673",
            "telephone_number": "770-416-0820",
            "fax_number": "770-416-0845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATCH MEDICAL SUPPLIES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AKWIWU",
        "authorized_official_first_name": "OKEM",
        "authorized_official_middle_name": "MAX",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-416-0820",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norcross, 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.