Active NPI
Shawn Fobas
- Durable Medical Equipment & Medical Supplies
- Atlanta, GA
National Provider Identifier
1881069037
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Practice address
- 2358 Perimeter Park Dr
Suite 370
Atlanta, GA 30341-1332 - Phone
- (770) 393-0855
- Fax
- (770) 393-0856
- NPI assigned
- Dec 14, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
2358 Perimeter Park Dr
Suite 370
Atlanta, GA 30341-1332
Mailing address
2358 Perimeter Park Dr
Suite 370
Atlanta, GA 30341-1332
Phone (770) 393-0855
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1450051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1450051200000",
"number": "1881069037",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2358 PERIMETER PARK DR",
"address_2": "SUITE 370",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303411332",
"telephone_number": "770-393-0855",
"fax_number": "770-393-0856"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2358 PERIMETER PARK DR",
"address_2": "SUITE 370",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303411332",
"telephone_number": "770-393-0855",
"fax_number": "770-393-0856"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOBAS",
"first_name": "SHAWN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-12-14",
"last_updated": "2015-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"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 Dec 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.