Upjoy Medical Supply LLC

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

Legal business name

UPJOY MEDICAL SUPPLY LLC

Practice address

245 Country Club Dr BLDG 100C
Stockbridge, GA 30281-7216

Phone

(404) 882-7738

NPI assigned

Feb 16, 2022

Organization subpart

No

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

Authorized official

Name

Cedric Lane

Title

Owner

Phone

(214) 621-5779

Specialties & licenses 1

Addresses

Other names 1

• UPJOY MEDICAL SUPPLY LLC Former legal business name

Locations

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

{
    "created_epoch": "1644969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644969600000",
    "number": "1881349066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2045 MOUNT ZION RD STE 227",
            "city": "MORROW",
            "state": "GA",
            "postal_code": "302603313",
            "telephone_number": "214-621-5779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 COUNTRY CLUB DR BLDG 100C",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302817216",
            "telephone_number": "404-882-7738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPJOY MEDICAL SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-16",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A",
        "authorized_official_last_name": "LANE",
        "authorized_official_first_name": "CEDRIC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-621-5779"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UPJOY MEDICAL SUPPLY LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Oxygen Equipment & Supplies (DME) in Stockbridge, GA
• Providers in Stockbridge, GA by specialty
• Oxygen Equipment & Supplies (DME) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2022; 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.