Organization Active NPI

Roundtree Medical Supplies

  • Durable Medical Equipment & Medical Supplies
  • Pooler, GA
National Provider Identifier
1730502113
Registry record updated Jan 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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

Updated by the provider on Jan 21, 2014

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.