S & S Medical Management, Services, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

2006019013 Issued in GA

Legal business name

S & S MEDICAL MANAGEMENT, SERVICES, INC.

Practice address

5385 Five Forks Trickum Rd
Suite H
Stone Mountain, GA 30087

Phone

(770) 717-9200

Fax

(770) 717-9242

NPI assigned

Jun 21, 2006

Organization subpart

No

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

Authorized official

Name

Mr. David Hill

Title

Account Manager Ceo

Phone

(770) 717-9200

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212451200000",
    "number": "1730125444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 430",
            "city": "PINE LAKE",
            "state": "GA",
            "postal_code": "300720430",
            "telephone_number": "770-717-9200",
            "fax_number": "770-717-9242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5385 FIVE FORKS TRICKUM RD",
            "address_2": "SUITE H",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "30087",
            "telephone_number": "770-717-9200",
            "fax_number": "770-717-9242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S & S MEDICAL MANAGEMENT, SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-21",
        "last_updated": "2008-06-03",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "ACCOUNT MANAGER CEO",
        "authorized_official_telephone_number": "770-717-9200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "GA",
            "license": "2006019013",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000937956A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2008; 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.