Organization Active NPI

Extrakare, LLC

  • Durable Medical Equipment & Medical Supplies
  • Norcross, GA
National Provider Identifier
1528036753
Registry record updated Mar 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
EXTRAKARE, LLC
Practice address
3250 Peachtree Corners Cir
Suite a
Norcross, GA 30092-5751
Phone
(770) 449-6898
Fax
(770) 449-3336
NPI assigned
Mar 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2011

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

Authorized official

Name
Mr. Scott Lloyd
Title
President
Phone
(770) 449-6898

Specialties & licenses 1

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

Addresses

Primary practice location

3250 Peachtree Corners Cir
Suite a
Norcross, GA 30092-5751

Mailing address

PO Box 922575
Norcross, GA 30010-2575
Phone (770) 449-6898

Other identifiers 1

IdentifierTypeStateIssuer
975916385AMedicaidGA

National Provider Directory

National Provider Directory

Locations

3250 Peachtree Corners Cir
Ste C
Norcross, GA 30092
Phone (770) 449-6898

3250 Peachtree Corners Cir
Ste A
Peachtree Corners, GA 30092
Phone (770) 449-6898

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301529600000",
    "number": "1528036753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 922575",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300102575",
            "telephone_number": "770-449-6898",
            "fax_number": "770-449-3336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3250 PEACHTREE CORNERS CIR",
            "address_2": "SUITE A",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300925751",
            "telephone_number": "770-449-6898",
            "fax_number": "770-449-3336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXTRAKARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-14",
        "last_updated": "2011-03-31",
        "status": "A",
        "authorized_official_last_name": "LLOYD",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-449-6898",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "975916385A",
            "state": "GA"
        }
    ],
    "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 Mar 31, 2011; 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.