Organization Active NPI

Top Tier Durable Medical Equipment LLC

  • Durable Medical Equipment & Medical Supplies
  • McDonough, GA
National Provider Identifier
1720801848
Registry record updated Jun 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
TOP TIER DURABLE MEDICAL EQUIPMENT LLC
Practice address
155 Westridge Pkwy Ste 202
McDonough, GA 30253-3050
Phone
(470) 589-5136
Fax
(470) 589-4646
NPI assigned
Nov 6, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2025

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

Authorized official

Name
Trelvis Jovan White
Title
Owner
Phone
(478) 960-9612

Specialties & licenses 1

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

Addresses

Primary practice location

155 Westridge Pkwy Ste 202
McDonough, GA 30253-3050

Mailing address

155 Westridge Pkwy Ste 202
McDonough, GA 30253-3050
Phone (470) 589-5136

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250627002944 GA DME Supplier - Medical Supply Company 4688187164 Practice locations: McDonough, GA

National Provider Directory

National Provider Directory

Locations

155 Westridge Pkwy
Ste 202
McDonough, GA 30253
Phone (470) 589-4646

NPI Registry JSON

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

{
    "created_epoch": "1730851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748908800000",
    "number": "1720801848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 WESTRIDGE PKWY STE 202",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302533050",
            "telephone_number": "470-589-5136",
            "fax_number": "470-589-4646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 WESTRIDGE PKWY STE 202",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302533050",
            "telephone_number": "470-589-5136",
            "fax_number": "470-589-4646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOP TIER DURABLE MEDICAL EQUIPMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-06",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "TRELVIS",
        "authorized_official_middle_name": "JOVAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "478-960-9612"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McDonough, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.