Organization Active NPI

Special Care Medical of SC Inc

  • Durable Medical Equipment & Medical Supplies
  • Norcross, GA
National Provider Identifier
1689828717
Registry record updated Feb 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
000006342 Issued in GA
Legal business name
SPECIAL CARE MEDICAL OF SC INC
Practice address
5201 Brook Hollow Pkwy
Suite B
Norcross, GA 30071-3640
Phone
(678) 237-4080
Fax
(678) 237-4081
NPI assigned
Nov 17, 2008
Last updated
Feb 24, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2023

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

Authorized official

Name
Walter David McLendon
Title
Ceo
Phone
(803) 926-0161

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 000006342 GA Primary

Addresses

Primary practice location

5201 Brook Hollow Pkwy
Suite B
Norcross, GA 30071-3640

Mailing address

PO Box 21564
Columbia, SC 29221-1564
Phone (803) 926-0161

National Provider Directory

National Provider Directory
Tax ID family
Special Care Medical of SC Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5201 Brook Hollow Pkwy
Ste B
Norcross, GA 30071
Phone (678) 237-4080

NPI Registry JSON

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

{
    "created_epoch": "1226880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677196800000",
    "number": "1689828717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21564",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292211564",
            "telephone_number": "803-926-0161",
            "fax_number": "803-926-0345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5201 BROOK HOLLOW PKWY",
            "address_2": "SUITE B",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300713640",
            "telephone_number": "678-237-4080",
            "fax_number": "678-237-4081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIAL CARE MEDICAL OF SC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-17",
        "last_updated": "2023-02-24",
        "certification_date": "2023-02-24",
        "status": "A",
        "authorized_official_last_name": "MCLENDON",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "803-926-0161"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "GA",
            "license": "000006342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norcross, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2023; 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.