Active NPI
American Home Medical Equipment LLC
- Durable Medical Equipment & Medical Supplies
- Fitzgerald, GA
National Provider Identifier
1629062856
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- AMERICAN HOME MEDICAL EQUIPMENT LLC
- Practice address
- 107 E Pine St
Fitzgerald, GA 31750-2906 - Phone
- (229) 423-8126
- Fax
- (229) 423-2597
- NPI assigned
- Sep 2, 2005
- Last updated
- Feb 1, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Amanda M Batten
- Title
- Ceo
- Phone
- (229) 423-8126
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | GA | Primary |
Addresses
Primary practice location
107 E Pine St
Fitzgerald, GA 31750-2906
Mailing address
107 E Pine St
Fitzgerald, GA 31750
Phone (229) 423-8126
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003182321A | Medicaid | GA |
National Provider Directory
National Provider DirectoryLocations
107 E Pine St
Fitzgerald, GA 31750
Phone (229) 423-8126
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125619200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1485907200000",
"number": "1629062856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 E PINE ST",
"city": "FITZGERALD",
"state": "GA",
"postal_code": "31750",
"telephone_number": "229-423-8126",
"fax_number": "229-423-2597"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 E PINE ST",
"city": "FITZGERALD",
"state": "GA",
"postal_code": "317502906",
"telephone_number": "229-423-8126",
"fax_number": "229-423-2597"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMERICAN HOME MEDICAL EQUIPMENT LLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-02",
"last_updated": "2017-02-01",
"status": "A",
"authorized_official_last_name": "BATTEN",
"authorized_official_first_name": "AMANDA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "229-423-8126"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "GA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003182321A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fitzgerald, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.