Organization Active NPI

Prometheus Group

  • Durable Medical Equipment & Medical Supplies
  • Charlotte, NC
National Provider Identifier
1942439468
Registry record updated Apr 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PROMETHEUS GROUP
Practice address
11325 N Community House Rd
Suite 650
Charlotte, NC 28277-1978
Phone
(678) 423-7065
NPI assigned
Jul 6, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2016

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

Authorized official

Name
Mathew Mammen
Title
Ceo/President
Phone
(678) 423-7065

Specialties & licenses 1

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

Addresses

Primary practice location

11325 N Community House Rd
Suite 650
Charlotte, NC 28277-1978

Mailing address

11325 N Community House Rd
Suite 650
Charlotte, NC 28277-1978
Phone (678) 423-7065

National Provider Directory

National Provider Directory

Locations

11325 N Community House Rd
Ste 650
Charlotte, NC 28277
Phone (678) 423-7065

NPI Registry JSON

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

{
    "created_epoch": "1246838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461628800000",
    "number": "1942439468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11325 N COMMUNITY HOUSE RD",
            "address_2": "SUITE 650",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282771978",
            "telephone_number": "678-423-7065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11325 N COMMUNITY HOUSE RD",
            "address_2": "SUITE 650",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282771978",
            "telephone_number": "678-423-7065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMETHEUS GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-06",
        "last_updated": "2016-04-26",
        "status": "A",
        "authorized_official_last_name": "MAMMEN",
        "authorized_official_first_name": "MATHEW",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "678-423-7065"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 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.