Beweaveus LLC

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

BEWEAVEUS LLC

Practice address

710 Dacula Rd Ste 4A249
Dacula, GA 30019-7061

Phone

(770) 539-5652

NPI assigned

Jan 4, 2021

Last updated

Jan 4, 2021By 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

Latasha Paulette GibbsNPI 1235797051

Title

Owner

Phone

(770) 539-5662

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Latasha Paulette Gibbs

  • Prosthetist
  • Lawrenceville, GA
  • NPI 1235797051
  NPD Authorized official

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

{
    "created_epoch": "1609718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609718400000",
    "number": "1639767825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 DACULA RD STE 4A249",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300197061",
            "telephone_number": "770-539-5652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 DACULA RD STE 4A249",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300197061",
            "telephone_number": "770-539-5652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEWEAVEUS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-04",
        "last_updated": "2021-01-04",
        "certification_date": "2021-01-04",
        "status": "A",
        "authorized_official_last_name": "GIBBS",
        "authorized_official_first_name": "LATASHA",
        "authorized_official_middle_name": "PAULETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-539-5662"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Letoria Bell, LCSW
• Josephine Fatmata Belmoh, FNP
• Amy Elizabeth Bennett, DC
• Amy Atkinson Bernal, MPT
• Carol Whittenburg Berry, OTR/L
• Jennifer Bhanji
• Bio-Medical Applications of Georgia, Inc. (Fresenius Kidney Care Dacula)
• Keith Douglas Biron, C.S.A
• Bizzie Transportation, LLC
• Chyan A. Black

• Customized Equipment (DME) in Dacula, GA
• Providers in Dacula, GA by specialty
• Customized Equipment (DME) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2021; 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.