Durable Medical Equipment, Inc

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

Legal business name

DURABLE MEDICAL EQUIPMENT, INC

Practice address

100 Mooty Bridge Rd
Lagrange, GA 30240-1806

Phone

(706) 882-2661

Fax

(706) 882-2251

NPI assigned

Mar 23, 2006

Organization subpart

No

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

Authorized official

Name

Thomas E Beckham, R.PH.

Title

Executive Vice President

Phone

(706) 882-2661

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• LAGRANGE HEALTHCARE Doing business as

Locations

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255046400000",
    "number": "1720047095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MOOTY BRIDGE RD",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302401806",
            "telephone_number": "706-882-2661",
            "fax_number": "706-882-2251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MOOTY BRIDGE RD",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302401806",
            "telephone_number": "706-882-2661",
            "fax_number": "706-882-2251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DURABLE MEDICAL EQUIPMENT, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-23",
        "last_updated": "2009-10-09",
        "status": "A",
        "authorized_official_last_name": "BECKHAM",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT",
        "authorized_official_telephone_number": "706-882-2661",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": "C19509",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000924074A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LAGRANGE HEALTHCARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jane Campbell Dunlap, APRN, CRNP
• Ktonya Latrai Dunlap, LPN
• Marlis Jane Faber Dunlap, FNP-C
• Shannon K. Dunlap, PHD
• Jane Dunn, PT
• Rod M Duraski, MD
• Gaurav Dutta, M.D.
• Martha Lynne Earley, LPC
• Maurice Edwards-Lackey, MD
• Valery Sammah Effoe, MD, MS

• All providers in Lagrange, GA
• Oxygen Equipment & Supplies (DME) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2009; 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.