Organization Active NPI

Synergy Medical Supply

  • Durable Medical Equipment & Medical Supplies
  • Charlotte, NC
National Provider Identifier
1740618792
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
SYNERGY MEDICAL SUPPLY
Practice address
1931 J N Pease PL Ste 101
Charlotte, NC 28262-4540
Phone
(704) 728-0214
Fax
(888) 461-3210
NPI assigned
Oct 29, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2023

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

Authorized official

Name
Zandra Smith
Title
Principal
Phone
(704) 728-0214

Specialties & licenses 1

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

Addresses

Primary practice location

1931 J N Pease PL Ste 101
Charlotte, NC 28262-4540

Mailing address

PO Box 480448
Charlotte, NC 28269-5320
Phone (704) 728-0214

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140818000361 NC DME Supplier - Medical Supply Company With Respiratory Therapist 2567689433 Practice locations: Charlotte, NC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Synergy Medical Supply1931 J N Pease PL, Charlotte, NC 28262-4540(704) 728-0214 Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Gastric Suction Pumps|Heat & Cold Applications|Hospital Beds (Electric)|Hospital Beds (Manual)|Infrared Heating Pads Systems and/or Supplies|External Infusion Pumps and/or Suppli… Accepts assignmentParticipating since Jul 10, 2014

National Provider Directory

National Provider Directory

Locations

1931 J N Pease Pl
Ste 101
Charlotte, NC 28262
Phone (704) 728-0214

NPI Registry JSON

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

{
    "created_epoch": "1383004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695168000000",
    "number": "1740618792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 480448",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282695320",
            "telephone_number": "704-728-0214",
            "fax_number": "888-461-3210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1931 J N PEASE PL STE 101",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282624540",
            "telephone_number": "704-728-0214",
            "fax_number": "888-461-3210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERGY MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-29",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ZANDRA",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "704-728-0214"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.