NPIMap

Organization Active NPI

Advanced Medical Supply Inc.

  • Durable Medical Equipment & Medical Supplies
  • Tallahassee, FL
National Provider Identifier
1710980693
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ADVANCED MEDICAL SUPPLY INC.
Practice address
1915 Welby Way
Ste 4
Tallahassee, FL 32308-4595
Phone
(850) 422-3777
Fax
(850) 385-6403
NPI assigned
May 24, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ryan Graves, C. PED.
Title
President
Phone
(850) 422-3777

Specialties & licenses 1

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

Addresses

Primary practice location

1915 Welby Way
Ste 4
Tallahassee, FL 32308-4595

Mailing address

1915 Welby Way
Ste 4
Tallahassee, FL 32308-4595
Phone (850) 422-3777

National Provider Directory

National Provider Directory

Locations

1915 Welby Way
Ste 4
Tallahassee, FL 32308
Phone (850) 422-3777

NPI Registry JSON

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710980693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1915 WELBY WAY",
            "address_2": "STE 4",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084595",
            "telephone_number": "850-422-3777",
            "fax_number": "850-385-6403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1915 WELBY WAY",
            "address_2": "STE 4",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084595",
            "telephone_number": "850-422-3777",
            "fax_number": "850-385-6403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED MEDICAL SUPPLY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRAVES",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-422-3777",
        "authorized_official_credential": "C. PED."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.