Carolina Diabetic Supply Group, Inc.
Organization Active NPI Durable Medical Equipment & Medical Supplies · New Bern, NC
NPI 1619956901 · NPPES record last updated Apr 6, 2023
Key facts
- NPI
- 1619956901
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- Legal business name
- CAROLINA DIABETIC SUPPLY GROUP, INC.
- Practice address
- 301 N Glenburnie Rd
New Bern, NC 28560-2706 - Phone
- (252) 633-2244
- Fax
- (252) 633-4156
- NPI assigned
- Jan 13, 2006
- Organization subpart
- No
Authorized official
- Name
- Michelle Denise Leonard
- Title
- Owner
- Phone
- (252) 633-2244
Practitioners 3
-
Windham Jennette Leaming, CFTS
-
Sherri Scott Bailey, CFTS
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Carolina Diabetic Supply Group, Inc |
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 assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930041145 | NC | DME Supplier - Medical Supply Company | 1153442355 | Practice locations: New Bern, NC |
National Provider Directory
Locations
3336 Martin Luther King Jr Blvd
New Bern, NC 28562
Phone (252) 633-2244
301 N Glenburnie Rd
New Bern, NC 28560
Phone (252) 633-2244
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | NC | Yes | |
| 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 identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7703607 | Medicaid | NC |
Other names
- CDSG Medical and Wellness
Other providers in New Bern, NC
- Carolina Choice LLC
- Carolina Choice LLC
- Carolina Choice, LLC
- Carolina Choice, LLC
- Carolina Craniospinal Neurosurgery, LLC
- Carolina East Orthopedic Specialists LLC
- Carolina East Physicians
- Carolina East Physicians
- Carolina Home Medical, Inc.
- Carolina Home Medical, Inc.
All providers in New Bern, NC · Durable Medical Equipment & Medical Supplies in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 6, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.