SDS Medical Supplies Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

SDS MEDICAL SUPPLIES INC.

Practice address

2375 Wall St SE Ste 240 RM 50
Conyers, GA 30013-6702

Phone

(770) 285-4104

Fax

(770) 285-4152

NPI assigned

Apr 8, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Kenneth Gerard Seaborne

Title

Ceo/President

Phone

(404) 664-3054

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

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

Locations

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

{
    "created_epoch": "1586304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746748800000",
    "number": "1659990810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2375 WALL ST SE, STE 240 RM 50",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300136702",
            "telephone_number": "770-285-4104",
            "fax_number": "770-285-4152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2375 WALL ST SE STE 240 RM 50",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300136702",
            "telephone_number": "770-285-4104",
            "fax_number": "770-285-4152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SDS MEDICAL SUPPLIES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-08",
        "last_updated": "2025-05-09",
        "certification_date": "2025-05-09",
        "status": "A",
        "authorized_official_last_name": "SEABORNE",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "GERARD",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "404-664-3054",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "sds.kenny@gmail.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "2375 Wall St SE Rm 50",
            "city": "Conyers",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300136702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Conyers, GA
• Providers in Conyers, 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 May 9, 2025; 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.