Quality Medical Supply and Equp

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

QUALITY MEDICAL SUPPLY AND EQUP

Practice address

769 Main St
Forest Park, GA 30297-1421

Phone

(404) 362-1044

Fax

(404) 362-1045

NPI assigned

Aug 22, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Enam Effionu Enyona, MS

Title

President

Phone

(404) 362-1044

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902912801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "769 MAIN ST",
            "city": "FOREST PARK",
            "state": "GA",
            "postal_code": "302971421",
            "telephone_number": "404-362-1044",
            "fax_number": "404-362-1045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "769 MAIN ST",
            "city": "FOREST PARK",
            "state": "GA",
            "postal_code": "302971421",
            "telephone_number": "404-362-1044",
            "fax_number": "404-362-1045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITY MEDICAL SUPPLY AND EQUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ENYONA",
        "authorized_official_first_name": "ENAM",
        "authorized_official_middle_name": "EFFIONU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "404-362-1044",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• PMR Georgia Holding, LLC
• Regina Powell, NP
• Preferential Majestic Group LLC
• Shalese McMillan Pugh, RD,LD
• Caryn Qian
• Radiance Home Care Services, LLC
• Debra M Reddick, D.D.S
• Prathima Lankala Reddy, M.D.
• Renal Treatment Centers Mid Atlantic Inc
• Respect Behavior Therapy

• Durable Medical Equipment & Medical Supplies in Forest Park, GA
• Providers in Forest Park, GA by specialty
• Durable Medical Equipment & Medical Supplies in Georgia

• 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.