NPIMap

Organization Active NPI

Medlife Medical Supply & Equipment, LLC

  • Durable Medical Equipment & Medical Supplies
  • Atlanta, GA
National Provider Identifier
1740414150
Registry record updated May 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MEDLIFE MEDICAL SUPPLY & EQUIPMENT, LLC
Practice address
2001 Martin Luther King Jr Dr SW
Suite 304
Atlanta, GA 30310-1101
Phone
(404) 564-4796
Fax
(404) 564-4797
NPI assigned
May 13, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2009

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

Authorized official

Name
Ms. Christine D Brown
Title
General Manager
Phone
(404) 564-4796

Specialties & licenses 1

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

Addresses

Primary practice location

2001 Martin Luther King Jr Dr SW
Suite 304
Atlanta, GA 30310-1101

Mailing address

2001 Martin Luther King Jr Dr SW
Suite 304
Atlanta, GA 30310-1101
Phone (404) 564-4796

National Provider Directory

National Provider Directory

Locations

2001 Martin Luther King Jr Dr SW
Ste 304
Atlanta, GA 30310
Phone (404) 564-4796

NPI Registry JSON

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

{
    "created_epoch": "1242172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242172800000",
    "number": "1740414150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 MARTIN LUTHER KING JR DR SW",
            "address_2": "SUITE 304",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303101101",
            "telephone_number": "404-564-4796",
            "fax_number": "404-564-4797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 MARTIN LUTHER KING JR DR SW",
            "address_2": "SUITE 304",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303101101",
            "telephone_number": "404-564-4796",
            "fax_number": "404-564-4797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDLIFE MEDICAL SUPPLY & EQUIPMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-13",
        "last_updated": "2009-05-13",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "404-564-4796",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.