Active NPI
Walter L. Carter Jr., CEO/ ABLEMED SUPPLY
- Durable Medical Equipment & Medical Supplies
- Savannah, GA
National Provider Identifier
1699316323
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- PHDME000264
- Practice address
- 11 Gateway Blvd S Ste 13
Savannah, GA 31419-9058 - Phone
- (912) 344-4675
- Fax
- (912) 231-3569
- NPI assigned
- Oct 3, 2019
- Last updated
- Jul 10, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | PHDME000264 | GA | Primary |
Addresses
Primary practice location
11 Gateway Blvd S Ste 13
Savannah, GA 31419-9058
Mailing address
122 Heritage Way
Savannah, GA 31419-9650
Phone (912) 677-9672
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PHDME000264 | GA | MD | Durable Medical Equipment & Medical Supplies |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ablemed Supply | Durable Medical Equipment & Medical Supplies | Current | Accepting new patients |
Locations
11 Gateway Blvd S
Ste 13
Savannah, GA 31419
Phone (912) 344-4675
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba AbleMed Supply, LLC.
- Durable Medical Equipment & Medical Supplies
- Savannah, GA
- NPI 1235774423
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594339200000",
"number": "1699316323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "122 HERITAGE WAY",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314199650",
"telephone_number": "912-677-9672"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 GATEWAY BLVD S STE 13",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314199058",
"telephone_number": "912-344-4675",
"fax_number": "912-231-3569"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARTER",
"first_name": "WALTER",
"middle_name": "L.",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "CEO/ ABLEMED SUPPLY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-10-03",
"last_updated": "2020-07-10",
"certification_date": "2020-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "GA",
"license": "PHDME000264",
"primary": true
}
],
"identifiers": [],
"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 Jul 10, 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.