Organization Active NPI

TW Medical Supplies LLC

  • Durable Medical Equipment & Medical Supplies
  • Decatur, GA
National Provider Identifier
1780057737
Registry record updated Dec 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
TW MEDICAL SUPPLIES LLC
Practice address
5040 Snapfinger Woods Dr
Suite 105
Decatur, GA 30035
Phone
(678) 580-5977
Fax
(770) 558-4756
NPI assigned
Nov 12, 2015
Organization subpart
Yes
Parent organization
TW MEDICAL SUPPLIES LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 19, 2023

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

Authorized official

Name
Mrs. Juan Thompson, DME
Title
Owner
Phone
(678) 580-5977

Specialties & licenses 1

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

Addresses

Primary practice location

5040 Snapfinger Woods Dr
Suite 105
Decatur, GA 30035

Mailing address

5040 Snapfinger Woods Dr
Suite 105
Decatur, GA 30035
Phone (678) 580-5977

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240604000086 GA DME Supplier - Medical Supply Company 0648712869 Practice locations: Decatur, GA

National Provider Directory

National Provider Directory
Part of
TW Medical Supplies LLC

Locations

5040 Snapfinger Woods Dr
Ste 105
Decatur, GA 30035
Phone (678) 580-5977

NPI Registry JSON

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

{
    "created_epoch": "1447286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702944000000",
    "number": "1780057737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5040 SNAPFINGER WOODS DR",
            "address_2": "SUITE 105",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "30035",
            "telephone_number": "678-580-5977",
            "fax_number": "770-558-4756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5040 SNAPFINGER WOODS DR",
            "address_2": "SUITE 105",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "30035",
            "telephone_number": "678-580-5977",
            "fax_number": "770-558-4756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TW MEDICAL SUPPLIES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TW MEDICAL SUPPLIES LLC",
        "enumeration_date": "2015-11-12",
        "last_updated": "2023-12-19",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "JUAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-580-5977",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DME"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.