Georgia Infusion Services, Inc

Primary specialty

Parenteral & Enteral Nutrition Supplies (DME)Taxonomy code 332BP3500X

License

PHRE008237 Issued in GA

Legal business name

GEORGIA INFUSION SERVICES, INC

Practice address

510 Gentilly Rd
Statesboro, GA 30458-5149

Phone

(912) 489-1179

Fax

(912) 489-8927

NPI assigned

Jul 15, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Stephen E Cummings, RN

Title

President

Phone

(912) 489-1179

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1121385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186358400000",
    "number": "1609875384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 287",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304590287",
            "telephone_number": "912-489-1179",
            "fax_number": "912-489-8927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 GENTILLY RD",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304585149",
            "telephone_number": "912-489-1179",
            "fax_number": "912-489-8927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA INFUSION SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-15",
        "last_updated": "2007-08-06",
        "status": "A",
        "authorized_official_last_name": "CUMMINGS",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "912-489-1179",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "GA",
            "license": "PHRE008237",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00672658B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00672658A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gentle Hour Wellness
• Georgia Anesthesia and Pain Managment
• Georgia CVS Pharmacy LLC (CVS Pharmacy # 06861)
• Georgia Eye Institute of the Southeast, LLC
• Georgia Eye Institute, Inc.
• Georgia Living at Home, LLC (Abide Home Care)
• Georgia Southern University (Georgia Southern University Health Services)
• Georgia Southern University
• Georgia Southern University
• Georgia Southern University

• Parenteral & Enteral Nutrition Supplies (DME) in Statesboro, GA
• Providers in Statesboro, GA by specialty
• Parenteral & Enteral Nutrition Supplies (DME) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2007; 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.