NPIMap

Organization Active NPI

Amerita South Atlantic LLC

Doing business as Amerita

  • Home Infusion Therapy Pharmacy
  • Duluth, GA
National Provider Identifier
1780224030
Registry record updated Jan 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Infusion Therapy PharmacyTaxonomy code 3336H0001X
Legal business name
AMERITA SOUTH ATLANTIC LLC
Doing business as
Amerita
Practice address
3355 Breckinridge Blvd Ste 120
Duluth, GA 30096-4989
Phone
(770) 500-3834
Fax
(833) 994-0847
NPI assigned
Jan 14, 2020
Last updated
Jan 2, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
AMERITA, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 2, 2026

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

Authorized official

Name
Alex Katen
Title
Cfo
Phone
(800) 477-7375

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X
Home Infusion Therapy Pharmacy 3336H0001X Primary
Medical Foods Supplier 335G00000X

Addresses

Primary practice location

3355 Breckinridge Blvd Ste 120
Duluth, GA 30096-4989

Mailing address

PO Box 223017
Pittsburgh, PA 15251-2017
Phone (800) 477-7375

Other identifiers 1

IdentifierTypeStateIssuer
1174488OtherNCPDP

Other names 1

  • Amerita Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20200429001412 GA DME Supplier - PharmacyDME Supplier - Medical Supply Company With Registered Pharmacist 0446689285 Practice locations: Duluth, GA
O20201117000996 GA Part B Supplier - Pharmacy 0446689285 Practice locations: Duluth, GA

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Amerita South Atlantic LLC3355 Breckinridge Blvd, Duluth, GA 30096-4989(770) 500-3834 Epoetin|Immunosuppressive Drugs|Infusion Drugs|External Infusion Pumps and/or Supplies|Enteral Nutrients|Enteral Equipment and/or Supplies|Parenteral Nutrients|Parenteral Equipment and/or Supplies Accepts assignmentParticipating since Mar 1, 2020

National Provider Directory

National Provider Directory
Tax ID family
Amerita South Atlantic LLC7 organizations share this tax ID, including this one
Part of
Amerita

Other organizations with this tax ID 6

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

Member of 3

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1578960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767312000000",
    "number": "1780224030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 223017",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152512017",
            "telephone_number": "800-477-7375",
            "fax_number": "877-676-0493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3355 BRECKINRIDGE BLVD STE 120",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300964989",
            "telephone_number": "770-500-3834",
            "fax_number": "833-994-0847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERITA SOUTH ATLANTIC LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AMERITA, INC.",
        "enumeration_date": "2020-01-14",
        "last_updated": "2026-01-02",
        "certification_date": "2026-01-02",
        "status": "A",
        "authorized_official_last_name": "KATEN",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "800-477-7375"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "335G00000X",
            "taxonomy_group": "",
            "desc": "Medical Foods Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "1174488",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amerita",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Duluth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.