Organization Active NPI

Mark a Everson Medical Supply

  • Durable Medical Equipment & Medical Supplies
  • Dublin, GA
National Provider Identifier
1679363576
Registry record updated May 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MARK A EVERSON MEDICAL SUPPLY
Doing business as
Mark A Everson medical supply
Practice address
806 Pierce Dr
Dublin, GA 31021-4532
Phone
(813) 545-5097
NPI assigned
May 12, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2025

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

Authorized official

Name
Mark Everson
Title
President
Phone
(813) 545-5097

Specialties & licenses 1

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

Addresses

Primary practice location

806 Pierce Dr
Dublin, GA 31021-4532

Mailing address

806 Pierce Dr
Dublin, GA 31021-4532
Phone (813) 545-5097

Other names 1

  • Mark A Everson medical supply Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1747008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747008000000",
    "number": "1679363576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "806 PIERCE DR",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310214532",
            "telephone_number": "813-545-5097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 PIERCE DR",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310214532",
            "telephone_number": "813-545-5097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK A EVERSON MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-12",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A",
        "authorized_official_last_name": "EVERSON",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-545-5097"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mark A Everson medical supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dublin, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2025; 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.