Active NPI
Riverside Medical Supply, LLC
- Durable Medical Equipment & Medical Supplies
- Woodstock, GA
National Provider Identifier
1831093137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- RIVERSIDE MEDICAL SUPPLY, LLC
- Practice address
- 222 River Park North Dr Ste B
Woodstock, GA 30188-7834 - Phone
- (404) 931-1031
- NPI assigned
- Oct 8, 2026
- Last updated
- Oct 8, 2026
- 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
- Reginald Noel
- Title
- Ao
- Phone
- (404) 931-1031
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | NU | Primary |
Addresses
Primary practice location
222 River Park North Dr Ste B
Woodstock, GA 30188-7834
Mailing address
222 River Park North Dr Ste B
Woodstock, GA 30188-7834
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.
-
- Durable Medical Equipment & Medical Supplies
- Woodstock, GA
- NPI 1750191896
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1791417600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1791417600000",
"number": "1831093137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "222 RIVER PARK NORTH DR STE B",
"city": "WOODSTOCK",
"state": "GA",
"postal_code": "301887834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 RIVER PARK NORTH DR STE B",
"city": "WOODSTOCK",
"state": "GA",
"postal_code": "301887834",
"telephone_number": "404-931-1031"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RIVERSIDE MEDICAL SUPPLY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-10-08",
"last_updated": "2026-10-08",
"certification_date": "2026-10-08",
"status": "A",
"authorized_official_last_name": "NOEL",
"authorized_official_first_name": "REGINALD",
"authorized_official_title_or_position": "AO",
"authorized_official_telephone_number": "404-931-1031"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woodstock, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.