Active NPI
Medical Equipment Specialists
- Oxygen Equipment & Supplies (DME)
- Cumming, GA
National Provider Identifier
1902803000
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oxygen Equipment & Supplies (DME)
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000804504A | Medicaid | GA |
Other names 1
- Motum Medical Group
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930027587 | GA | DME Supplier - Medical Supply Company With Orthotic Personnel | 1456471572 | Practice locations: Cumming, GA |
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Medical Equipment Specialists | Ostomy Supplies|Tracheotomy Supplies|Urological Supplies|Enteral Nutrients|Enteral Equipment and/or Supplies | Does not accept assignment |
National Provider Directory
National Provider DirectoryLocations
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.