Surgimed Suppliers, Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

301254869 Issued in GA

Legal business name

SURGIMED SUPPLIERS, INC

Practice address

6399 Jimmy Carter Blvd Ste 100
Norcross, GA 30071-2320

Phone

(678) 879-0721

Fax

(678) 893-0942

NPI assigned

Oct 6, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Emelia Orubele

Title

President

Phone

(678) 879-0721

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234828800000",
    "number": "1740377134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6399 JIMMY CARTER BLVD STE 100",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300712320",
            "telephone_number": "678-879-0721",
            "fax_number": "678-893-0942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6399 JIMMY CARTER BLVD STE 100",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300712320",
            "telephone_number": "678-879-0721",
            "fax_number": "678-893-0942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGIMED SUPPLIERS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2009-02-17",
        "status": "A",
        "authorized_official_last_name": "ORUBELE",
        "authorized_official_first_name": "EMELIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "678-879-0721",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "GA",
            "license": "301254869",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP COMMUNITY CARE",
            "identifier": "10059497",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "334560",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000914834A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Norcross, GA
• Providers in Norcross, GA by specialty
• Durable Medical Equipment & Medical Supplies in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 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.