Individual provider Active NPI

Walter L. Carter Jr., CEO/ ABLEMED SUPPLY

  • Durable Medical Equipment & Medical Supplies
  • Savannah, GA
National Provider Identifier
1699316323
Registry record updated Jul 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
PHDME000264 Issued in GA
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, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
PHDME000264GAMDDurable Medical Equipment & Medical Supplies

Practice roles

OrganizationSpecialtyStatusNew patients
Ablemed Supply Durable Medical Equipment & Medical Supplies CurrentSince Nov 17, 2019 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.

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.

Verify at the official NPI Registry.