NPIMap

Organization Active NPI

Pathmedic

  • Durable Medical Equipment & Medical Supplies
  • Milledgeville, GA
National Provider Identifier
1760656318
Registry record updated Apr 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PATHMEDIC
Practice address
3011 Heritage PL NE
Suite B
Milledgeville, GA 31061-7206
Phone
(478) 804-0008
Fax
(478) 804-0009
NPI assigned
Apr 15, 2008
Last updated
Apr 15, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2008

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

Authorized official

Name
Mr. Jack T Lovelace
Title
Manager/Partner
Phone
(404) 931-5540

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
Durable Medical Equipment & Medical Supplies 332B00000X Primary
Non-emergency Medical Transport (VAN) 343900000X

Addresses

Primary practice location

3011 Heritage PL NE
Suite B
Milledgeville, GA 31061-7206

Mailing address

3011 Heritage PL NE
Suite B
Milledgeville, GA 31061-7206
Phone (478) 804-0008

National Provider Directory

National Provider Directory
Tax ID family
Pathmedic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3011 Heritage Pl NE
Ste B
Milledgeville, GA 31061
Phone (478) 804-0008

NPI Registry JSON

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

{
    "created_epoch": "1208217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208217600000",
    "number": "1760656318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3011 HERITAGE PL NE",
            "address_2": "SUITE B",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310617206",
            "telephone_number": "478-804-0008",
            "fax_number": "478-804-0009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3011 HERITAGE PL NE",
            "address_2": "SUITE B",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310617206",
            "telephone_number": "478-804-0008",
            "fax_number": "478-804-0009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHMEDIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-15",
        "last_updated": "2008-04-15",
        "status": "A",
        "authorized_official_last_name": "LOVELACE",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "MANAGER/PARTNER",
        "authorized_official_telephone_number": "404-931-5540",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milledgeville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2008; 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.