Med IV Healthcare

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

MED IV HEALTHCARE

Practice address

531 Exam CT
Lawrenceville, GA 30044-5428

Phone

(770) 742-2885

NPI assigned

Feb 24, 2022

Organization subpart

No

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

Authorized official

Name

Shanice MosleyNPI 1659954055

Title

Owner

Phone

(404) 966-4672

Specialties & licenses 1

Addresses

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shanice Mosley

  • Surgical Technologist
  • Lawrenceville, GA
  • NPI 1659954055
  NPD Authorized official

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

{
    "created_epoch": "1645660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645660800000",
    "number": "1588310965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "531 EXAM CT",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300445428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531 EXAM CT",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300445428",
            "telephone_number": "770-742-2885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED IV HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-24",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-24",
        "status": "A",
        "authorized_official_last_name": "MOSLEY",
        "authorized_official_first_name": "SHANICE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-966-4672"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shanice.mosley@medivhealthcare.com",
            "affiliation": "N",
            "address_1": "531 Exam Ct",
            "city": "Lawrenceville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300445428",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Karen C Mead, RPH
• Meadows Clinic at Lawrenceville LLC
• Breashia Debra Meadows
• Janelle Denise Meadows
• Med Courier LLC
• Med Supplies Express Inc
• Med-Supplies Express Inc
• Claudette Annmarie Medder
• Medical Mobile Express Unlimted LLC
• Medical Plus Supplies LLC

• Skilled Nursing Facility in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Skilled Nursing Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.