Envip Medical Supplies

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

Legal business name

ENVIP MEDICAL SUPPLIES

Practice address

130 Eagle Spring CT Ste D
Stockbridge, GA 30281-7252

Phone

(478) 219-7202

Fax

(478) 219-7218

NPI assigned

Oct 2, 2018

Organization subpart

No

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

Authorized official

Name

Sharon Pickett-Williams

Title

Owner

Phone

(478) 219-7202

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1538438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538438400000",
    "number": "1750866174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 EAGLE SPRING CT STE D",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302817252",
            "telephone_number": "478-219-7202",
            "fax_number": "478-219-7218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 EAGLE SPRING CT STE D",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302817252",
            "telephone_number": "478-219-7202",
            "fax_number": "478-219-7218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENVIP MEDICAL SUPPLIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-02",
        "last_updated": "2018-10-02",
        "status": "A",
        "authorized_official_last_name": "PICKETT-WILLIAMS",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "478-219-7202"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Oxygen Equipment & Supplies (DME) in Stockbridge, GA
• Providers in Stockbridge, GA by specialty
• Oxygen Equipment & Supplies (DME) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2018; 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.