Organization Active NPI

Star DME, LLC

  • Durable Medical Equipment & Medical Supplies
  • Atlanta, GA
National Provider Identifier
1528506367
Registry record updated Feb 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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

Updated by the provider on Feb 7, 2017

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.