Seniors Medical Supply

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

SENIORS MEDICAL SUPPLY

Practice address

124 W Crescent Square Dr
Graham, NC 27253-4014

Phone

(336) 227-0730

Fax

(336) 227-0732

NPI assigned

Apr 29, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Vanessa Coble, PH.D.

Title

President

Phone

(336) 227-0730

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

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

Locations

Practitioners 1

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

• Vanessa Trevathan

  • Orthotic Fitter
  • Graham, NC
  • NPI 1235539016

  Prosthetic/Orthotic Supplier

  NPD

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

{
    "created_epoch": "1367193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627603200000",
    "number": "1821432295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 W ELM ST",
            "city": "GRAHAM",
            "state": "NC",
            "postal_code": "272532158",
            "telephone_number": "336-227-0730",
            "fax_number": "336-227-0732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 W CRESCENT SQUARE DR",
            "city": "GRAHAM",
            "state": "NC",
            "postal_code": "272534014",
            "telephone_number": "336-227-0730",
            "fax_number": "336-227-0732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIORS MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-29",
        "last_updated": "2021-07-30",
        "certification_date": "2021-07-30",
        "status": "A",
        "authorized_official_last_name": "COBLE",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-227-0730",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010186889",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7795360",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7704282",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DE2653",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Bolis DMD PLLC (Graham Dental Studio)
• Phillip Lane Savage, D.D.S.
• Rebecca A. Scarlett, LPC
• Lesel Leanne Selensky, BS, PTA
• Seniors Medical Supply
• Shauna R Woody DDS PLLC
• Mary Lyndall Shoffner
• Jeanette Shotwell
• Small World Therapy P.a.
• Wendi Smith

• Durable Medical Equipment & Medical Supplies in Graham, NC
• Providers in Graham, NC by specialty
• Durable Medical Equipment & Medical Supplies in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2021; 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.