Atlanta Medical Sourcing and Services LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

ATLANTA MEDICAL SOURCING AND SERVICES LLC

Practice address

12705 Century Dr Unit D
Alpharetta, GA 30009-8378

Phone

(404) 882-8466

Fax

(404) 900-9201

NPI assigned

Jul 18, 2024

Last updated

Jul 18, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Raed Immteirah

Title

Owner

Phone

(770) 282-8784

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

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

{
    "created_epoch": "1721260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721260800000",
    "number": "1922846484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12705 CENTURY DR UNIT D",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300098378",
            "telephone_number": "404-882-8466",
            "fax_number": "404-900-9201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12705 CENTURY DR UNIT D",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300098378",
            "telephone_number": "404-882-8466",
            "fax_number": "404-900-9201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTA MEDICAL SOURCING AND SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-18",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A",
        "authorized_official_last_name": "IMMTEIRAH",
        "authorized_official_first_name": "RAED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-282-8784"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Atlanta Clinical Research Centers LLC (Atlanta Clinical and Research)
• Atlanta Dermatology, Vein & Research Center, LLC (Hamilton Dermatology, DBA)
• Atlanta General Surgery Associates,PC
• Atlanta Hair Restoration
• Atlanta Innovative Medicine, LLC
• Atlanta Outpatient Ancillary Services, LLC
• Atlanta Senior Care Services, LLC (Inspired Living at Alpharetta)
• Atlanta Skin Cancer Specialists, P.C.
• Atlanta Speech Therapy, LLC
• Atlanta Spinal Correction Center LLC

• Durable Medical Equipment & Medical Supplies in Alpharetta, GA
• Providers in Alpharetta, 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 Jul 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.