Choice Medical

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

CHOICE MEDICAL

Practice address

475 Lakeside Cir
Covington, GA 30016-8877

Phone

(770) 549-0098

Fax

(770) 784-9614

NPI assigned

Nov 28, 2007

Organization subpart

No

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

Authorized official

Name

Damon Pope

Title

Owner

Phone

(770) 549-0098

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1196208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403136000000",
    "number": "1700068186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 LAKESIDE CIR",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300168877",
            "telephone_number": "770-549-0098",
            "fax_number": "770-784-9614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 LAKESIDE CIR",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300168877",
            "telephone_number": "770-549-0098",
            "fax_number": "770-784-9614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOICE MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-28",
        "last_updated": "2014-06-19",
        "status": "A",
        "authorized_official_last_name": "POPE",
        "authorized_official_first_name": "DAMON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-549-0098"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "033104451A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nirmala Sowbhagya Chelliah, M.D.
• Michael Cheng, M.D.
• George Jules Chevalier IV
• Raynecia Chisolm, RN
• Kimberly Allison Chitwood, FNP
• Brantriesa Clark, PA
• Kimberly Clark
• Lauren E Clark, LCSW
• Michelle J Clark, DR.
• Cleansparrow LLC

• Durable Medical Equipment & Medical Supplies in Covington, GA
• Providers in Covington, GA by specialty
• Durable Medical Equipment & Medical Supplies in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2014; 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.