Active NPI
Roundtree Medical Supplies
- Durable Medical Equipment & Medical Supplies
- Pooler, GA
National Provider Identifier
1730502113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- ROUNDTREE MEDICAL SUPPLIES
- Practice address
- 1313 Ryans Way
Pooler, GA 31322-3359 - Phone
- (912) 532-1167
- Fax
- (912) 532-1167
- NPI assigned
- Jan 21, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Craig R Roundtree
- Title
- President
- Phone
- (912) 532-1167
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
1313 Ryans Way
Pooler, GA 31322-3359
Mailing address
1313 Ryans Way
Pooler, GA 31322-3359
Phone (912) 532-1167
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1390262400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1390262400000",
"number": "1730502113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1313 RYANS WAY",
"city": "POOLER",
"state": "GA",
"postal_code": "313223359",
"telephone_number": "912-532-1167",
"fax_number": "912-532-1167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1313 RYANS WAY",
"city": "POOLER",
"state": "GA",
"postal_code": "313223359",
"telephone_number": "912-532-1167",
"fax_number": "912-532-1167"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROUNDTREE MEDICAL SUPPLIES",
"organizational_subpart": "NO",
"enumeration_date": "2014-01-21",
"last_updated": "2014-01-21",
"status": "A",
"authorized_official_last_name": "ROUNDTREE",
"authorized_official_first_name": "CRAIG",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "912-532-1167",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pooler, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.