Organization Active NPI

Urostat Healthcare, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Suwanee, GA
National Provider Identifier
1629581244
Registry record updated Aug 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
20253428833 Issued in GA
Legal business name
UROSTAT HEALTHCARE, INC.
Practice address
1132 Satellite Blvd
Ste 100
Suwanee, GA 30024-4441
Phone
(888) 845-8698
Fax
(888) 303-9123
NPI assigned
Nov 6, 2017
Last updated
Aug 29, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2019

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

Authorized official

Name
Mr. Craig S Stevens
Title
President
Phone
(888) 845-8698

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 20253428833 GA Primary

Addresses

Primary practice location

1132 Satellite Blvd
Ste 100
Suwanee, GA 30024-4441

Mailing address

1132 Satellite Blvd
Ste 100
Suwanee, GA 30024-4441
Phone (888) 845-8698

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180525000296 GA DME Supplier - Medical Supply Company 6901161850 Practice locations: Suwanee, GA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

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
Urostat Healthcare, Inc.1132 Satellite Blvd NW, Suwanee, GA 30024-44416785415566102 Blood Glucose Monitors/Supplies (Mail Order)|Ostomy Supplies|Urological Supplies Does not accept assignmentParticipating since Feb 21, 2018

National Provider Directory

National Provider Directory
Tax ID family
Urostat Healthcare 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.

Locations

3280 McEver Rd
Ste 111
Buford, GA 30518

NPI Registry JSON

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

{
    "created_epoch": "1509926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567036800000",
    "number": "1629581244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1132 SATELLITE BLVD",
            "address_2": "STE 100",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300244441",
            "telephone_number": "888-845-8698",
            "fax_number": "888-303-9123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1132 SATELLITE BLVD",
            "address_2": "STE 100",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300244441",
            "telephone_number": "888-845-8698",
            "fax_number": "888-303-9123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UROSTAT HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-06",
        "last_updated": "2019-08-29",
        "status": "A",
        "authorized_official_last_name": "STEVENS",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "888-845-8698",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "GA",
            "license": "20253428833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suwanee, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2019; 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.