Physicians Preferred Med Equip Sev

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PHYSICIANS PREFERRED MED EQUIP SEV

Practice address

4274 N Valdosta Rd
Valdosta, GA 31602-6814

Phone

(229) 242-1234

Fax

(229) 247-8110

NPI assigned

Sep 20, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Edward K Mark Jr., M.D.

Title

Ceo

Phone

(229) 242-1234

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1190246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209600000000",
    "number": "1811183148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4274 N VALDOSTA RD",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316026814",
            "telephone_number": "229-242-1234",
            "fax_number": "229-247-8110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4274 N VALDOSTA RD",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316026814",
            "telephone_number": "229-242-1234",
            "fax_number": "229-247-8110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS PREFERRED MED EQUIP SEV",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-20",
        "last_updated": "2008-05-01",
        "status": "A",
        "authorized_official_last_name": "MARK",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "229-242-1234",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Phillips, RN
• Shandra Phillips
• Thomas E Phillips, MD
• Physicians Institute for Pain Management ASC, LLC
• Physicians Institute for Pain Management, LLC
• Derek James Pickup, LMSW
• Philip K Pieplow, M.ED., ATC, LAT
• David M Pierce, M.D.
• Rachel Pierce, RBT
• John C Pike, CRNA

• Durable Medical Equipment & Medical Supplies in Valdosta, GA
• Providers in Valdosta, 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 May 1, 2008; 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.