Active NPI
Wade L Barnes & Jennifer R Burgess
- Oxygen Equipment & Supplies (DME)
- Canton, GA
National Provider Identifier
1801873849
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oxygen Equipment & Supplies (DME)
- Legal business name
- WADE L BARNES & JENNIFER R BURGESS
- Practice address
- 534 Keith Dr
Suite B
Canton, GA 30114-6211 - Phone
- (770) 345-4429
- Fax
- (770) 345-4087
- NPI assigned
- Dec 30, 2005
- Last updated
- Sep 10, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Wade Lawrence Barnes
- Title
- Partner
- Phone
- (770) 345-4429
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oxygen Equipment & Supplies (DME) | 332BX2000X | Primary |
Addresses
Primary practice location
534 Keith Dr
Suite B
Canton, GA 30114-6211
Mailing address
534 Keith Dr
Suite B
Canton, GA 30114-6211
Phone (770) 345-4429
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00894176A | Medicaid | GA |
Other names 1
- B & G Medical Equipment
National Provider Directory
National Provider DirectoryLocations
534 Keith Dr
#B
Canton, GA 30114
Phone (770) 345-4429
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135900800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1347235200000",
"number": "1801873849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "534 KEITH DR",
"address_2": "SUITE B",
"city": "CANTON",
"state": "GA",
"postal_code": "301146211",
"telephone_number": "770-345-4429",
"fax_number": "770-345-4087"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "534 KEITH DR",
"address_2": "SUITE B",
"city": "CANTON",
"state": "GA",
"postal_code": "301146211",
"telephone_number": "770-345-4429",
"fax_number": "770-345-4087"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WADE L BARNES & JENNIFER R BURGESS",
"organizational_subpart": "NO",
"enumeration_date": "2005-12-30",
"last_updated": "2012-09-10",
"status": "A",
"authorized_official_last_name": "BARNES",
"authorized_official_first_name": "WADE",
"authorized_official_middle_name": "LAWRENCE",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "770-345-4429",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00894176A",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "B & G Medical Equipment",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Canton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.