Organization Active NPI

Ada Medical Supply and Services Inc

Doing business as Ada Medical Supply

  • Durable Medical Equipment & Medical Supplies
  • Sandy Springs, GA
National Provider Identifier
1942258173
Registry record updated Dec 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
20016201412 Issued in GA
Legal business name
ADA MEDICAL SUPPLY AND SERVICES INC
Doing business as
Ada Medical Supply
Practice address
6780 Roswell Rd Ste D115
160
Sandy Springs, GA 30328-2792
Phone
(678) 398-0505
Fax
(678) 398-0550
NPI assigned
May 4, 2006
Last updated
Dec 29, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2016

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

Authorized official

Name
Mr. Aniedi James
Title
President
Phone
(678) 398-0505

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 20016201412 GA Primary

Addresses

Primary practice location

6780 Roswell Rd Ste D115
160
Sandy Springs, GA 30328-2792

Mailing address

6780 Roswell Rd Ste D115
160
Sandy Springs, GA 30328-2792
Phone (678) 398-0505

Other identifiers 1

IdentifierTypeStateIssuer
000933193AMedicaidGA

Other names 1

  • ADA MEDICAL SUPPLY Doing business as

National Provider Directory

National Provider Directory

Locations

4968 Austell Rd
Ste 108
Austell, GA 30106
Phone (678) 398-0505

6780 Roswell Rd
Ste D115
Sandy Springs, GA 30328
Phone (678) 398-0505

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482969600000",
    "number": "1942258173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6780 ROSWELL RD STE D115",
            "address_2": "160",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303282792",
            "telephone_number": "678-398-0505",
            "fax_number": "678-398-0550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6780 ROSWELL RD STE D115",
            "address_2": "160",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303282792",
            "telephone_number": "678-398-0505",
            "fax_number": "678-398-0550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADA MEDICAL SUPPLY AND SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-04",
        "last_updated": "2016-12-29",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "ANIEDI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "678-398-0505",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "GA",
            "license": "20016201412",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000933193A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ADA MEDICAL SUPPLY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sandy Springs, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2016; 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.