Douglasville FS Inc

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

DOUGLASVILLE FS INC

Practice address

9503 Highway 5
Suite 104
Douglasville, GA 30135-1515

Phone

(770) 577-3677

Fax

(770) 577-3627

NPI assigned

Feb 20, 2008

Organization subpart

No

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

Authorized official

Name

Michael Muncy

Title

Owner

Phone

(770) 577-3677

Specialties & licenses 1

Addresses

Other names 1

• Foot Solutions Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

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

{
    "created_epoch": "1203465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203465600000",
    "number": "1669640959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9503 HIGHWAY 5",
            "address_2": "SUITE 104",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301351515",
            "telephone_number": "770-577-3677",
            "fax_number": "770-577-3627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9503 HIGHWAY 5",
            "address_2": "SUITE 104",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301351515",
            "telephone_number": "770-577-3677",
            "fax_number": "770-577-3627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLASVILLE FS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-20",
        "last_updated": "2008-02-20",
        "status": "A",
        "authorized_official_last_name": "MUNCY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-577-3677"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Foot Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Douglasville Nephrology & HTN Clinic
• Douglasville Nursing and Rehabilitation Center, LLC
• Douglasville Psychological Outpatient Services
• Douglasville Therapeutic Massage, Inc

• Customized Equipment (DME) in Douglasville, GA
• Providers in Douglasville, 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 Feb 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.