Mint Medical Supplies LLC

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

MINT MEDICAL SUPPLIES LLC

Practice address

220 Baumgard Way
Locust Grove, GA 30248-4473

Phone

(678) 365-1379

NPI assigned

Aug 1, 2026

Organization subpart

No

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

Authorized official

Name

Dr. William Oliver Hansford

Title

Owner

Phone

(678) 365-1379

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1785542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785542400000",
    "number": "1609799121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 BAUMGARD WAY",
            "city": "LOCUST GROVE",
            "state": "GA",
            "postal_code": "302484473",
            "telephone_number": "678-365-1379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 BAUMGARD WAY",
            "city": "LOCUST GROVE",
            "state": "GA",
            "postal_code": "302484473",
            "telephone_number": "678-365-1379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINT MEDICAL SUPPLIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-01",
        "last_updated": "2026-08-01",
        "certification_date": "2026-08-01",
        "status": "A",
        "authorized_official_last_name": "HANSFORD",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "OLIVER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-365-1379",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Customized Equipment (DME) in Locust Grove, GA
• Providers in Locust Grove, GA by specialty
• Customized Equipment (DME) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2026; 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.