Organization Active NPI

Medical Equipment Specialists

  • Oxygen Equipment & Supplies (DME)
  • Cumming, GA
National Provider Identifier
1902803000
Registry record updated Oct 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
Legal business name
MEDICAL EQUIPMENT SPECIALISTS
Doing business as
Motum Medical Group
Practice address
380 Dahlonega St Ste 103
Cumming, GA 30040-8212
Phone
(470) 253-8067
Fax
(678) 807-2998
NPI assigned
Jul 5, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2024

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

Authorized official

Name
Mr. Erik Jon Kolacinski
Title
Ceo
Phone
(470) 249-9869

Specialties & licenses 1

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

Addresses

Primary practice location

380 Dahlonega St Ste 103
Cumming, GA 30040-8212

Mailing address

5920 Boulder Bluff Dr
Cumming, GA 30040-1144
Phone (470) 249-9869

Other identifiers 1

IdentifierTypeStateIssuer
000804504AMedicaidGA

Other names 1

  • Motum Medical Group Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930027587 GA DME Supplier - Medical Supply Company With Orthotic PersonnelDME Supplier - Medical Supply Company 1456471572 Practice locations: Cumming, GA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Medical Equipment Specialists380 Dahlonega St, Cumming, GA 30040-8212(470) 253-8067 Ostomy Supplies|Tracheotomy Supplies|Urological Supplies|Enteral Nutrients|Enteral Equipment and/or Supplies Does not accept assignmentParticipating since Jan 1, 2001

National Provider Directory

National Provider Directory

Locations

380 Dahlonega St
Ste 103
Cumming, GA 30040
Phone (470) 253-8067

106 Pilgrim Village Dr
Ste 100
Cumming, GA 30040
Phone (470) 253-8067

102 Tower Rd
Cumming, GA 30040
Phone (770) 889-3552

380 Dahlonega St
Cumming, GA 30040
Phone (678) 683-5693

1880 W Oak Pkwy
Ste 103
Marietta, GA 30062
Phone (470) 253-8067

NPI Registry JSON

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

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728518400000",
    "number": "1902803000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5920 BOULDER BLUFF DR",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300401144",
            "telephone_number": "470-249-9869",
            "fax_number": "678-807-2998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 DAHLONEGA ST STE 103",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300408212",
            "telephone_number": "470-253-8067",
            "fax_number": "678-807-2998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL EQUIPMENT SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-05",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A",
        "authorized_official_last_name": "KOLACINSKI",
        "authorized_official_first_name": "ERIK",
        "authorized_official_middle_name": "JON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "470-249-9869",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000804504A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Motum Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cumming, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.