Organization Active NPI

Southeastern Medical Equip

  • Durable Medical Equipment & Medical Supplies
  • Savannah, GA
National Provider Identifier
1689680910
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
SOUTHEASTERN MEDICAL EQUIP
Practice address
4821 Waters Ave
Savannah, GA 31404-6221
Phone
(912) 691-0922
Fax
(912) 691-2970
NPI assigned
Jul 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Lindy Bachner
Title
President
Phone
(912) 691-0922

Specialties & licenses 1

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

Addresses

Primary practice location

4821 Waters Ave
Savannah, GA 31404-6221

Mailing address

4821 Waters Ave
Savannah, GA 31404-6221
Phone (912) 691-0922

Other identifiers 1

IdentifierTypeStateIssuer
00926945AMedicaidGA

National Provider Directory

National Provider Directory

Locations

4821 Waters Ave
Savannah, GA 31404
Phone (912) 355-3446

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689680910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4821 WATERS AVE",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314046221",
            "telephone_number": "912-691-0922",
            "fax_number": "912-691-2970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4821 WATERS AVE",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314046221",
            "telephone_number": "912-691-0922",
            "fax_number": "912-691-2970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEASTERN MEDICAL EQUIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BACHNER",
        "authorized_official_first_name": "LINDY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "912-691-0922"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00926945A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

  • 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.