At Home Medical Equipment

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

AT HOME MEDICAL EQUIPMENT

Practice address

1801 Old Ocilla Rd
Tifton, GA 31794

Phone

(229) 382-1221

Fax

(229) 382-4044

NPI assigned

Aug 20, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Chrystal Dennessa Kendrick

Title

Owner Manager

Phone

(229) 382-1221

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639284433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 OLD OCILLA RD",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "31794",
            "telephone_number": "229-382-1221",
            "fax_number": "229-382-4044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 OLD OCILLA RD",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "31794",
            "telephone_number": "229-382-1221",
            "fax_number": "229-382-4044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AT HOME MEDICAL EQUIPMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KENDRICK",
        "authorized_official_first_name": "CHRYSTAL",
        "authorized_official_middle_name": "DENNESSA",
        "authorized_official_title_or_position": "OWNER MANAGER",
        "authorized_official_telephone_number": "229-382-1221",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "52052239001",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alonso Martin Arcadia-Reynoso, CRNA
• Nicholas Alexander Arnold, MD
• Terry Michael Arthur, PA-C
• Bridgett Lowe Asbury, M.D.
• Luanne Ashton, FNP
• David Ryan Atkins, APRN-BC
• Jerri K Aultman, RD
• Molly Bailey
• Anna Makenzie Baker, O.D.
• Logan Balkcom

• Durable Medical Equipment & Medical Supplies in Tifton, GA
• Providers in Tifton, 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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.