Active NPI
TW Medical Supplies LLC
- Durable Medical Equipment & Medical Supplies
- Decatur, GA
National Provider Identifier
1780057737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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 LLC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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.