Organization Active NPI

Purdy Medical Wigs & DME Supplier LLC

  • Customized Equipment (DME)
  • Lithonia, GA
National Provider Identifier
1508722869
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
PURDY MEDICAL WIGS & DME SUPPLIER LLC
Practice address
5801 Rock Springs Rd
Lithonia, GA 30038-1504
Phone
(678) 439-8319
Fax
(770) 200-1620
NPI assigned
Dec 30, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

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

Authorized official

Name
Kayla Ross
Title
Owner
Phone
(678) 439-8319

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X Primary
Prosthetic/Orthotic Supplier 335E00000X

Addresses

Primary practice location

5801 Rock Springs Rd
Lithonia, GA 30038-1504

Mailing address

5801 Rock Springs Rd
Lithonia, GA 30038-1504
Phone (678) 439-8319

National Provider Directory

National Provider Directory
Tax ID family
Purdy Medical Wigs DME Supplier LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1767052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787529600000",
    "number": "1508722869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5801 ROCK SPRINGS RD",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300381504",
            "telephone_number": "678-439-8319",
            "fax_number": "770-200-1620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5801 ROCK SPRINGS RD",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300381504",
            "telephone_number": "678-439-8319",
            "fax_number": "770-200-1620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURDY MEDICAL WIGS & DME SUPPLIER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-30",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "KAYLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-439-8319"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lithonia, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; 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.