NPIMap

Organization Active NPI

Med-Supplies Express Inc

  • Durable Medical Equipment & Medical Supplies
  • Lawrenceville, GA
National Provider Identifier
1619088796
Registry record updated Aug 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
4860980001 Issued in GA
Legal business name
MED-SUPPLIES EXPRESS INC
Practice address
925 Cripple Creek Dr
Ste 500
Lawrenceville, GA 30043-8503
Phone
(678) 377-5660
Fax
(770) 454-0123
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2026

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

Authorized official

Name
Mbaukwu Anaba
Title
Authorized Official
Phone
(678) 377-5660

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 4860980001 GA Primary

Addresses

Primary practice location

925 Cripple Creek Dr
Ste 500
Lawrenceville, GA 30043-8503

Mailing address

925 Cripple Creek Dr
Ste 500
Lawrenceville, GA 30043-8503
Phone (678) 377-5660

Other identifiers 2

IdentifierTypeStateIssuer
200813470AMedicaidIN
884938199AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930061079 GA DME Supplier - Medical Supply Company 6709092836 Practice locations: Lawrenceville, GA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Med-Supplies Express Inc925 Cripple Creek Dr, Lawrenceville, GA 30043-8503(678) 377-5660 Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Heat & Cold Applications|Hospital Beds (Electric)|Hospital Beds (Manual)|Negative Pressure Wound Therapy Pumps/Supplies|Pneumatic Compression Devices and/or Supplies|Support Surf… Does not accept assignmentParticipating since Jul 15, 2005

National Provider Directory

National Provider Directory
Tax ID family
Med Supplies Express Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786665600000",
    "number": "1619088796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 CRIPPLE CREEK DR",
            "address_2": "STE 500",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300438503",
            "telephone_number": "678-377-5660",
            "fax_number": "770-454-0123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 CRIPPLE CREEK DR",
            "address_2": "STE 500",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300438503",
            "telephone_number": "678-377-5660",
            "fax_number": "770-454-0123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED-SUPPLIES EXPRESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2026-08-14",
        "certification_date": "2026-08-14",
        "status": "A",
        "authorized_official_last_name": "ANABA",
        "authorized_official_first_name": "MBAUKWU",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "678-377-5660"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "GA",
            "license": "4860980001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200813470A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "884938199A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.