Organization Active NPI

C & J Medical Supplies

  • Oxygen Equipment & Supplies (DME)
  • Jonesboro, GA
National Provider Identifier
1902021462
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
423450 Issued in GA
Legal business name
C & J MEDICAL SUPPLIES
Practice address
299 N Main St
Jonesboro, GA 30236-3234
Phone
(770) 235-8591
Fax
(770) 210-3581
NPI assigned
Apr 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Jennifer Elaine Sampson, RRT
Title
Vice President
Phone
(770) 235-8591

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X 423450 GA Primary

Addresses

Primary practice location

299 N Main St
Jonesboro, GA 30236-3234

Mailing address

299 N Main St
Jonesboro, GA 30236-3234
Phone (770) 235-8591

National Provider Directory

National Provider Directory

Locations

299 N Main St
Jonesboro, GA 30236
Phone (770) 235-8591

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902021462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "299 N MAIN ST",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302363234",
            "telephone_number": "770-235-8591",
            "fax_number": "770-210-3581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "299 N MAIN ST",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302363234",
            "telephone_number": "770-235-8591",
            "fax_number": "770-210-3581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C & J MEDICAL SUPPLIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SAMPSON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "770-235-8591",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RRT"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "GA",
            "license": "423450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.