Embraced Soles & Medical DME LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

EMBRACED SOLES & MEDICAL DME LLC

Practice address

3295 River Exchange Dr Ste 400
Norcross, GA 30092-4221

Phone

(770) 217-5168

Fax

(770) 284-6612

NPI assigned

Feb 19, 2024

Organization subpart

No

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

Authorized official

Name

Jamil Davis, PHD(C), PMHNP, MSN,NPI 1376882191

Title

Owner

Phone

(770) 217-5168

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jamil Eman Davis, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Riverdale, GA
  • NPI 1376882191
  NPD Authorized official

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

{
    "created_epoch": "1708300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708300800000",
    "number": "1780449793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3295 RIVER EXCHANGE DR STE 400",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300924221",
            "telephone_number": "770-217-5168",
            "fax_number": "770-284-6612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3295 RIVER EXCHANGE DR STE 400",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300924221",
            "telephone_number": "770-217-5168",
            "fax_number": "770-284-6612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMBRACED SOLES & MEDICAL DME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-19",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-19",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "JAMIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-217-5168",
        "authorized_official_credential": "PHD(C), PMHNP, MSN,"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Javier Elizalde, NCAC II
• Willette Ellerbe
• Ann Elliott
• Sean Ellis
• Elpis Hospice
• Janee Embry
• Epic Medical Services, LLC
• Letisha Renee Erb, LCSW,LMSW
• Jaime Lynn Eskridge, MA, CCC-SLP
• Esop Rehabilitation LLC

• Durable Medical Equipment & Medical Supplies in Norcross, GA
• Providers in Norcross, GA by specialty
• Durable Medical Equipment & Medical Supplies in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2024; 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.