Organization Active NPI

Professionz

  • Durable Medical Equipment & Medical Supplies
  • Austell, GA
National Provider Identifier
1891542890
Registry record updated May 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PROFESSIONZ
Practice address
411 Maxham Rd Ste 1100
Austell, GA 30168-2901
Phone
(678) 760-0609
NPI assigned
May 6, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2024

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

Authorized official

Name
Shanara Collins, SPECIALISTNPI 1679320667
Title
Owner
Phone
(678) 760-0609

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 Primary

Addresses

Primary practice location

411 Maxham Rd Ste 1100
Austell, GA 30168-2901

Mailing address

5561 Bolero Way
Powder Springs, GA 30127-3553
Phone (678) 760-0609

National Provider Directory

National Provider Directory

Locations

411 Maxham Rd
Ste 1100
Austell, GA 30168
Phone (678) 760-0609

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": "1714953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714953600000",
    "number": "1891542890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5561 BOLERO WAY",
            "city": "POWDER SPRINGS",
            "state": "GA",
            "postal_code": "301273553",
            "telephone_number": "678-760-0609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 MAXHAM RD STE 1100",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301682901",
            "telephone_number": "678-760-0609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-06",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "SHANARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-760-0609",
        "authorized_official_credential": "SPECIALIST"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2024; 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.