Active NPI
Evora Medical LLC
- Durable Medical Equipment & Medical Supplies
- Atlanta, GA
National Provider Identifier
1881506657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- EVORA MEDICAL LLC
- Practice address
- 365 E Paces Ferry Rd NE
Atlanta, GA 30305-2351 - Phone
- (540) 322-7542
- NPI assigned
- Sep 17, 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
- Deja McCoy
- Title
- Owner
- Phone
- (678) 882-9111
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
365 E Paces Ferry Rd NE
Atlanta, GA 30305-2351
Mailing address
365 E Paces Ferry Rd NE
Atlanta, GA 30305-2351
Phone (540) 322-7542
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789603200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1789603200000",
"number": "1881506657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "365 E PACES FERRY RD NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303052351",
"telephone_number": "540-322-7542"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "365 E PACES FERRY RD NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303052351",
"telephone_number": "540-322-7542"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EVORA MEDICAL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-17",
"last_updated": "2026-09-17",
"certification_date": "2026-09-17",
"status": "A",
"authorized_official_last_name": "MCCOY",
"authorized_official_first_name": "DEJA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "678-882-9111"
},
"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 Sep 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.