First Medical Suppliers Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

FIRST MEDICAL SUPPLIERS INC

Practice address

75 Mendel Dr SW Ste H
Atlanta, GA 30336-2023

Phone

(404) 696-0091

Fax

(404) 696-0092

NPI assigned

Mar 26, 2007

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Ivan Q McClam

Title

Owner

Phone

(404) 696-0091

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1750408456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 MENDEL DR SW STE H",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303362023",
            "telephone_number": "404-696-0091",
            "fax_number": "404-696-0092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 MENDEL DR SW STE H",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303362023",
            "telephone_number": "404-696-0091",
            "fax_number": "404-696-0092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST MEDICAL SUPPLIERS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MCCLAM",
        "authorized_official_first_name": "IVAN",
        "authorized_official_middle_name": "Q",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-696-0091",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00638976A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Atlanta, GA
• Providers in Atlanta, 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 Jul 21, 2022; 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.