Organization Active NPI

Southeast Medical, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Tuscaloosa, AL
National Provider Identifier
1508394339
Registry record updated Aug 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
SOUTHEAST MEDICAL, INC.
Practice address
2117 University Blvd
Tuscaloosa, AL 35401-1539
Phone
(205) 650-3260
Fax
(772) 607-5274
NPI assigned
May 24, 2017
Organization subpart
Yes
Parent organization
ABC HOME MEDICAL SUPPLY, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 3, 2026

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

Authorized official

Name
Claudio Galeno de Araujo Filho
Title
President and Director
Phone
(772) 292-7733

Specialties & licenses 1

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

Addresses

Primary practice location

2117 University Blvd
Tuscaloosa, AL 35401-1539

Mailing address

PO Box 674553
Detroit, MI 48267-4553
Phone (866) 897-8588

Other identifiers 2

IdentifierTypeStateIssuer
242843MedicaidAL
08836851MedicaidMS

Other names 1

  • ABC Home Medical Supply, Inc. Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171002000686 AL DME Supplier - Medical Supply Company 1557564697 Practice locations: Tuscaloosa, AL

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Southeast Medical, Inc2117 University Blvd, Tuscaloosa, AL 35401-1539(205) 650-3260 Ostomy Supplies|Urological Supplies|Surgical Dressings Accepts assignmentParticipating since Oct 13, 2006

National Provider Directory

National Provider Directory
Tax ID family
Southeast Medical Inc2 organizations share this tax ID, including this one
Part of
Abc Home Medical Supply Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2117 University Blvd
Tuscaloosa, AL 35401
Phone (205) 650-3260

75 N Main St
Ste 229
Clayton, GA 30525
Phone (678) 707-8807

1686 E President St
Savannah, GA 31404
Phone (912) 355-0601

306 Stone Ridge Blvd
Asheville, NC 28804
Phone (828) 713-9176

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CGFAAA

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.

NPI Registry JSON

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

{
    "created_epoch": "1495584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785715200000",
    "number": "1508394339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 674553",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482674553",
            "telephone_number": "866-897-8588",
            "fax_number": "772-607-5274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2117 UNIVERSITY BLVD",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354011539",
            "telephone_number": "205-650-3260",
            "fax_number": "772-607-5274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST MEDICAL, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ABC HOME MEDICAL SUPPLY, INC.",
        "enumeration_date": "2017-05-24",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A",
        "authorized_official_last_name": "ARAUJO FILHO",
        "authorized_official_first_name": "CLAUDIO",
        "authorized_official_middle_name": "GALENO DE",
        "authorized_official_title_or_position": "PRESIDENT AND DIRECTOR",
        "authorized_official_telephone_number": "772-292-7733"
    },
    "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": "242843",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08836851",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ABC Home Medical Supply, Inc.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ABC Home Medical Supply, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tuscaloosa, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.