First Source Catheter, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

FIRST SOURCE CATHETER, INC.

Practice address

1690 Redi Rd
Suite 400
Cumming, GA 30040-9704

Phone

(470) 839-2904

Fax

(470) 839-2179

NPI assigned

Mar 2, 2017

Organization subpart

No

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

Authorized official

Name

Chris Malcom

Title

President

Phone

(470) 839-2904

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

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

{
    "created_epoch": "1488412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522022400000",
    "number": "1548700024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1690 REDI RD",
            "address_2": "SUITE 400",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300409704",
            "telephone_number": "470-839-2904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1690 REDI RD",
            "address_2": "SUITE 400",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300409704",
            "telephone_number": "470-839-2904",
            "fax_number": "470-839-2179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST SOURCE CATHETER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-02",
        "last_updated": "2018-03-26",
        "status": "A",
        "authorized_official_last_name": "MALCOM",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "470-839-2904"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003199056A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Skylar Marie Fields, RBT
• Finding Freedom Counseling LLC
• Michael G Finlay, DPT
• Tammy Elizabeth Finley, M.D.
• Michelle Finucan, PT
• Firstmed of Forsyth
• Alyssa Jordan Fischer, AUD
• Josephine M Fish
• Christina Louise Fisher, CRNA
• Fisioguides LLC

• Durable Medical Equipment & Medical Supplies in Cumming, GA
• Providers in Cumming, GA by specialty
• Durable Medical Equipment & Medical Supplies in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.