Gentle Medical System, LLC.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

19124728 Issued in GA

Legal business name

GENTLE MEDICAL SYSTEM, LLC.

Practice address

134 Hurricane Shoals Rd NE Ste G
Lawrenceville, GA 30046-4445

Phone

(770) 963-0034

Fax

(404) 935-9394

NPI assigned

Apr 1, 2011

Last updated

Apr 1, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. John Olawoyin

Title

Managing Director

Phone

(770) 963-0034

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1301616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301616000000",
    "number": "1831488667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 HURRICANE SHOALS RD NE STE G",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300464445",
            "telephone_number": "770-963-0034",
            "fax_number": "404-935-9394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 HURRICANE SHOALS RD NE STE G",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300464445",
            "telephone_number": "770-963-0034",
            "fax_number": "404-935-9394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENTLE MEDICAL SYSTEM, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-01",
        "last_updated": "2011-04-01",
        "status": "A",
        "authorized_official_last_name": "OLAWOYIN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "770-963-0034",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "GA",
            "license": "19124728",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUSINESS LICENSE",
            "identifier": "19124728",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2011; 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.