Organization Active NPI

Unique Pleasant and Smooth Soles LLC

  • Durable Medical Equipment & Medical Supplies
  • Atlanta, GA
National Provider Identifier
1831597855
Registry record updated Jul 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
UNIQUE PLEASANT AND SMOOTH SOLES LLC
Practice address
3300 Buckeye Rd Ste 215
Atlanta, GA 30341-4232
Phone
(678) 224-8172
Fax
(678) 669-9459
NPI assigned
Dec 8, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2019

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

Authorized official

Name
Wanda AndersonNPI 1033517156
Title
Ceo
Phone
(678) 431-8389

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X GA Primary

Addresses

Primary practice location

3300 Buckeye Rd Ste 215
Atlanta, GA 30341-4232

Mailing address

3300 Buckeye Rd Ste 215
Atlanta, GA 30341-4232
Phone (678) 224-8172

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180208000149 GA DME Supplier - Medical Supply Company 3476813650 Practice locations: Atlanta, GA

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
Unique Pleasant and Smooth Soles3300 Buckeye Rd, Atlanta, GA 30341-4232(678) 224-8172 Orthoses: Off-The-Shelf|Diabetic Shoes and Inserts Accepts assignmentParticipating since Oct 20, 2017

National Provider Directory

National Provider Directory

Locations

3300 Buckeye Rd
Ste 215
Atlanta, GA 30341
Phone (678) 224-8172

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1417996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563840000000",
    "number": "1831597855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 BUCKEYE RD STE 215",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303414232",
            "telephone_number": "678-224-8172",
            "fax_number": "678-669-9459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 BUCKEYE RD STE 215",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303414232",
            "telephone_number": "678-224-8172",
            "fax_number": "678-669-9459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIQUE PLEASANT AND SMOOTH SOLES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-08",
        "last_updated": "2019-07-23",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "WANDA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-431-8389"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2019; 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.