NPIMap

Organization Active NPI

Midtown Investments LLC

Doing business as Custom Medical Solutions

  • Durable Medical Equipment & Medical Supplies
  • Macon, GA
National Provider Identifier
1598870081
Registry record updated Sep 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MIDTOWN INVESTMENTS LLC
Doing business as
Custom Medical Solutions
Practice address
4611 Ivey Dr
Suite 100
Macon, GA 31206-5383
Phone
(478) 477-6444
Fax
(478) 477-6002
NPI assigned
Aug 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2021

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

Authorized official

Name
Jason R Richardson
Title
Insurance Specialist
Phone
(601) 842-7380

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X GA Primary

Addresses

Primary practice location

4611 Ivey Dr
Suite 100
Macon, GA 31206-5383

Mailing address

7100 Northland Cir N
Suite 410
Brooklyn Park, MN 55428-1548
Phone (763) 535-0118

Other names 1

  • Custom Medical Solutions Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Custom Medical Solutions4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4611 Ivey Dr
Ste 100
Macon, GA 31206
Phone (478) 477-6444

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630454400000",
    "number": "1598870081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7100 NORTHLAND CIR N",
            "address_2": "SUITE 410",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554281548",
            "telephone_number": "763-535-0118",
            "fax_number": "763-536-0932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4611 IVEY DR",
            "address_2": "SUITE 100",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312065383",
            "telephone_number": "478-477-6444",
            "fax_number": "478-477-6002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDTOWN INVESTMENTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2021-09-01",
        "certification_date": "2021-09-01",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "INSURANCE SPECIALIST",
        "authorized_official_telephone_number": "601-842-7380"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Custom Medical Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Macon, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2021; 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.