Organization Active NPI

SNS Medical Equipment LLC

  • Durable Medical Equipment & Medical Supplies
  • Marietta, GA
National Provider Identifier
1508495953
Registry record updated Apr 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
SNS MEDICAL EQUIPMENT LLC
Practice address
631 Campbell Hill St NW Ste 100
Marietta, GA 30060-1390
Phone
(770) 422-0444
Fax
(770) 422-4412
NPI assigned
Apr 7, 2020
Last updated
Apr 7, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2020

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

Authorized official

Name
Dr. Tariq Javed, MDNPI 1871579235
Title
Joint Owner
Phone
(770) 422-0444

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

631 Campbell Hill St NW Ste 100
Marietta, GA 30060-1390

Mailing address

631 Campbell Hill St NW Ste 100
Marietta, GA 30060-1390
Phone (770) 422-0444

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200702001806 GA DME Supplier - Physician - Neurosurgery 4789007055 Practice locations: Marietta, GA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1586217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586217600000",
    "number": "1508495953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631 CAMPBELL HILL ST NW STE 100",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300601390",
            "telephone_number": "770-422-0444",
            "fax_number": "770-422-4412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 CAMPBELL HILL ST NW STE 100",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300601390",
            "telephone_number": "770-422-0444",
            "fax_number": "770-422-4412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SNS MEDICAL EQUIPMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-07",
        "last_updated": "2020-04-07",
        "certification_date": "2020-04-07",
        "status": "A",
        "authorized_official_last_name": "JAVED",
        "authorized_official_first_name": "TARIQ",
        "authorized_official_title_or_position": "JOINT OWNER",
        "authorized_official_telephone_number": "770-422-0444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.