Active NPI
Home Medical Professionals
- Oxygen Equipment & Supplies (DME)
- Bogart, GA
National Provider Identifier
1689728644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oxygen Equipment & Supplies (DME)
- Legal business name
- HOME MEDICAL PROFESSIONALS
- Practice address
- 205 Cleveland Rd
Suite D
Bogart, GA 30622-6821 - Phone
- (706) 433-0715
- NPI assigned
- Jan 23, 2007
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Mr. Eric Parkhill, RRT
- Title
- VP
- Phone
- (770) 533-9404
National Provider Directory
National Provider DirectoryLocations
205 Cleveland Rd
Ste D
Bogart, GA 30622
Phone (706) 433-0715
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oxygen Equipment & Supplies (DME) | 332BX2000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
205 Cleveland Rd
Suite D
Bogart, GA 30622-6821
Mailing address
1655 Oakbrook Dr
Suite B
Gainesville, GA 30507-8492
Phone (770) 533-9404
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00738174C | Medicaid | GA |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 8, 2015.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1420675200000",
"number": "1689728644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1655 OAKBROOK DR",
"address_2": "SUITE B",
"city": "GAINESVILLE",
"state": "GA",
"postal_code": "305078492",
"telephone_number": "770-533-9404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 CLEVELAND RD",
"address_2": "SUITE D",
"city": "BOGART",
"state": "GA",
"postal_code": "306226821",
"telephone_number": "706-433-0715"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOME MEDICAL PROFESSIONALS",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-23",
"last_updated": "2015-01-08",
"status": "A",
"authorized_official_last_name": "PARKHILL",
"authorized_official_first_name": "ERIC",
"authorized_official_title_or_position": "VP",
"authorized_official_telephone_number": "770-533-9404",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RRT"
},
"taxonomies": [
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00738174C",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bogart, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.