Active NPI
Star DME, LLC
- Durable Medical Equipment & Medical Supplies
- Atlanta, GA
National Provider Identifier
1528506367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- STAR DME, LLC
- Practice address
- 925 Peachtree St NE Ste 306B
Atlanta, GA 30309-3918 - Phone
- (678) 358-7154
- Fax
- (404) 815-1669
- NPI assigned
- Feb 1, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nichole Angele Duffey
- Title
- Ceo
- Phone
- (678) 358-7154
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
925 Peachtree St NE Ste 306B
Atlanta, GA 30309-3918
Mailing address
925B Peachtree St NE Ste 306
Atlanta, GA 30309-3918
Phone (678) 358-7154
National Provider Directory
National Provider DirectoryLocations
925 Peachtree St NE
Ste 306B
Atlanta, GA 30309
Phone (678) 358-7154
925B Peachtree St NE
Ste 306
Atlanta, GA 30309
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485907200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1486425600000",
"number": "1528506367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "925B PEACHTREE ST NE STE 306",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303093918",
"telephone_number": "678-358-7154",
"fax_number": "404-815-1669"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "925 PEACHTREE ST NE STE 306B",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303093918",
"telephone_number": "678-358-7154",
"fax_number": "404-815-1669"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STAR DME, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-02-01",
"last_updated": "2017-02-07",
"status": "A",
"authorized_official_last_name": "DUFFEY",
"authorized_official_first_name": "NICHOLE",
"authorized_official_middle_name": "ANGELE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "678-358-7154"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.