Organization Active NPI

Care Medical of Georgia

  • Durable Medical Equipment & Medical Supplies
  • Fayetteville, GA
National Provider Identifier
1720070709
Registry record updated Jun 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
CARE MEDICAL OF GEORGIA
Practice address
1572 Highway 85N
Suite 505
Fayetteville, GA 30214-7729
Phone
(678) 228-2849
Fax
(678) 228-1636
NPI assigned
Aug 16, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2009

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

Authorized official

Name
Ms. Tandra Davis Phillips
Title
Management
Phone
(404) 468-5903

Specialties & licenses 1

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

Addresses

Primary practice location

1572 Highway 85N
Suite 505
Fayetteville, GA 30214-7729

Mailing address

1572 Highway 85N
Suite 505
Fayetteville, GA 30214-7729
Phone (678) 228-2849

Other identifiers 1

IdentifierTypeStateIssuer
146697898AMedicaidGA

National Provider Directory

National Provider Directory

Locations

1572 Highway 85 N
Ste 505
Fayetteville, GA 30214
Phone (678) 228-2849

NPI Registry JSON

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243900800000",
    "number": "1720070709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1572 HIGHWAY 85N",
            "address_2": "SUITE 505",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302147729",
            "telephone_number": "678-228-2849",
            "fax_number": "678-228-1636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1572 HIGHWAY 85N",
            "address_2": "SUITE 505",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302147729",
            "telephone_number": "678-228-2849",
            "fax_number": "678-228-1636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE MEDICAL OF GEORGIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-16",
        "last_updated": "2009-06-02",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "TANDRA",
        "authorized_official_middle_name": "DAVIS",
        "authorized_official_title_or_position": "MANAGEMENT",
        "authorized_official_telephone_number": "404-468-5903",
        "authorized_official_name_prefix": "Ms."
    },
    "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": "146697898A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.