Organization Active NPI

American Medical Systems Inc

  • Durable Medical Equipment & Medical Supplies
  • Macon, GA
National Provider Identifier
1932272663
Registry record updated Mar 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
AMERICAN MEDICAL SYSTEMS INC
Practice address
1745 Clinton Rd
Macon, GA 31211-1721
Phone
(478) 741-3697
Fax
(478) 750-1474
NPI assigned
Nov 17, 2006
Last updated
Mar 17, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2017

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

Authorized official

Name
Mr. Norris W Wallace III
Title
President
Phone
(478) 741-3697

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

1745 Clinton Rd
Macon, GA 31211-1721

Mailing address

PO Box 2827
Macon, GA 31203
Phone (478) 741-3697

National Provider Directory

National Provider Directory

Locations

1745 Clinton Rd
Macon, GA 31211
Phone (478) 741-3697

808 Gray Hwy
Macon, GA 31211
Phone (478) 741-3697

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489708800000",
    "number": "1932272663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2827",
            "city": "MACON",
            "state": "GA",
            "postal_code": "31203",
            "telephone_number": "478-741-3697",
            "fax_number": "478-750-1474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1745 CLINTON RD",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312111721",
            "telephone_number": "478-741-3697",
            "fax_number": "478-750-1474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN MEDICAL SYSTEMS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2017-03-17",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "NORRIS",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "478-741-3697",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2017; 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.