Organization Active NPI

Carolina Diabetic Supply Group, Inc.

Doing business as CDSG Medical and Wellness

  • Durable Medical Equipment & Medical Supplies
  • New Bern, NC
National Provider Identifier
1619956901
Registry record updated Apr 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
CAROLINA DIABETIC SUPPLY GROUP, INC.
Doing business as
CDSG Medical and Wellness
Practice address
301 N Glenburnie Rd
New Bern, NC 28560-2706
Phone
(252) 633-2244
Fax
(252) 633-4156
NPI assigned
Jan 13, 2006
Last updated
Apr 6, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2023

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

Authorized official

Name
Michelle Denise Leonard
Title
Owner
Phone
(252) 633-2244

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NC Primary
Customized Equipment (DME) 332BC3200X

Addresses

Primary practice location

301 N Glenburnie Rd
New Bern, NC 28560-2706

Mailing address

301 N Glenburnie Rd
New Bern, NC 28560-2706
Phone (252) 633-2244

Other names 1

  • CDSG Medical and Wellness Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930041145 NC DME Supplier - Medical Supply Company 1153442355 Practice locations: New Bern, NC

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
Carolina Diabetic Supply Group, Inc301 N Glenburnie Rd, New Bern, NC 28560-2706(252) 633-2244 Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Breast Prostheses and/or Accessories|Urological Supplies|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom|Lymphedema Compre… Accepts assignmentParticipating since May 1, 2000

National Provider Directory

National Provider Directory

Locations

301 N Glenburnie Rd
New Bern, NC 28560
Phone (252) 633-2244

3336 Martin Luther King Jr Blvd
New Bern, NC 28562
Phone (252) 633-2244

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1137110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680739200000",
    "number": "1619956901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 N GLENBURNIE RD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285602706",
            "telephone_number": "252-633-2244",
            "fax_number": "252-633-4156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 N GLENBURNIE RD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285602706",
            "telephone_number": "252-633-2244",
            "fax_number": "252-633-4156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA DIABETIC SUPPLY GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-13",
        "last_updated": "2023-04-06",
        "certification_date": "2023-04-06",
        "status": "A",
        "authorized_official_last_name": "LEONARD",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-633-2244"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NC",
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CDSG Medical and Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CDSG Medical and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Bern, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2023; 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.