Totally Committed Diabetic Supply, Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

TOTALLY COMMITTED DIABETIC SUPPLY, INC

Practice address

340 Commerce Ave
Suite 13
Southern Pines, NC 28387-7093

Phone

(910) 944-0406

Fax

(910) 944-0407

NPI assigned

Dec 3, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Birtha C. Shaw

Title

Owner

Phone

(910) 944-0406

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1165104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652745600000",
    "number": "1568530855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 COMMERCE AVE",
            "address_2": "SUITE 13",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283877093",
            "telephone_number": "910-944-0406",
            "fax_number": "910-944-0407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 COMMERCE AVE",
            "address_2": "SUITE 13",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283877093",
            "telephone_number": "910-944-0406",
            "fax_number": "910-944-0407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTALLY COMMITTED DIABETIC SUPPLY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-03",
        "last_updated": "2022-05-17",
        "certification_date": "2022-05-17",
        "status": "A",
        "authorized_official_last_name": "SHAW",
        "authorized_official_first_name": "BIRTHA",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-944-0406",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7703400",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katherine Tinker, LPA
• Jessica Tippit, DPT
• TLH - Cap Services
• Madison Todd
• Total Renal Care of North Carolina, LLC (Southern Pines Dialysis Center)
• Triangle Foot and Ankle Specialist, P.C.
• Marsha Kay Tripp, PT
• True Mental Health & Wellness, PLLC
• Catherine Tucker, LCMHC ASSOCIATE
• Brooke Allison Turner, M.S.,CCC-SLP

• Durable Medical Equipment & Medical Supplies in Southern Pines, NC
• Providers in Southern Pines, NC by specialty
• Durable Medical Equipment & Medical Supplies in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2022; 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.