RJ Medical Supply

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

RJ MEDICAL SUPPLY

Practice address

1572 Highway 85 N Ste 338
Fayetteville, GA 30214-7729

Phone

(470) 592-5811

Fax

(770) 216-1818

NPI assigned

Jan 10, 2023

Organization subpart

No

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

Authorized official

Name

Judith Fairclough

Title

President

Phone

(404) 808-5118

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

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

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

{
    "created_epoch": "1673308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744848000000",
    "number": "1619681012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1572 HIGHWAY 85 N STE 338",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302147729",
            "telephone_number": "470-592-5811",
            "fax_number": "770-216-1818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1572 HIGHWAY 85 N STE 338",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302147729",
            "telephone_number": "470-592-5811",
            "fax_number": "770-216-1818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RJ MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-10",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A",
        "authorized_official_last_name": "FAIRCLOUGH",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "404-808-5118"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joy Eileen Riley, LPC, NCC, MA
• Rochelle A Riley, MD
• Gloria Rinomhota, PHARMD
• Deborah Hansard Rivers, M.ED., CCC-SLP
• Gina Marie Rizzo, CMT, NMT
• RN Drip, LLC
• Emily Grace Crow Roberson, PHARMD
• Robert L Clemons II
• Amanda Victoria Roberts, PHARMD, RPH
• Marilyn Catherine Roberts, M.S. LPC

• Durable Medical Equipment & Medical Supplies in Fayetteville, GA
• Providers in Fayetteville, GA by specialty
• Durable Medical Equipment & Medical Supplies in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2025; 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.