Active NPI
Optum Infusion Services 209, Inc,
- Home Infusion Therapy Pharmacy
- Marietta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Infusion Therapy Pharmacy
- Legal business name
- OPTUM INFUSION SERVICES 209, INC,
- Practice address
- 425 Franklin Gateway, Suite 535
Marietta, GA 30067 - Phone
- (800) 925-9749
- Fax
- (844) 243-3370
- NPI assigned
- Oct 12, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Denise McCabe
- Title
- Secretary
- Phone
- (952) 935-1191
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | |||
| Pharmacy | 333600000X | |||
| Compounding Pharmacy | 3336C0004X | |||
| Home Infusion Therapy Pharmacy | 3336H0001X | Primary | ||
| Specialty Pharmacy | 3336S0011X |
Addresses
Primary practice location
425 Franklin Gateway, Suite 535
Marietta, GA 30067
Mailing address
1 Optum Cir Ste 100
Eden Prairie, MN 55344-2956
Phone (800) 328-5979
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Home infusion therapy
- Medicare-enrolled home infusion therapy supplier
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930082503 | GA | DME Supplier - Pharmacy | 0749495067 | Practice locations: Marietta, GA |
| O20210114001118 | GA | Part B Supplier - Pharmacy | 0749495067 | Practice locations: Marietta, GA |
| O20210203001250 | GA | Part B Supplier - Home Infusion Therapy Supplier | 0749495067 |
1 other NPI on this enrollment Practice locations: Marietta, GA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Optum Infusion Services 209 Inc | Epoetin|Immunosuppressive Drugs|Infusion Drugs|External Infusion Pumps and/or Supplies|Implanted Infusion Pumps and/or Supplies|Enteral Nutrients|Enteral Equipment and/or Supplies|Parenteral Nutrients|Parenteral Equipment and/or Supplies|Surgical Dressings | Accepts assignment |
National Provider Directory
National Provider DirectoryMember of 2
Organizations this organization is a member of, according to the National Provider Directory.
-
- Home Infusion Therapy Pharmacy
- Houston, TX
- NPI 1780187237
Member Of
Locations
3630 Wheeler Rd
Augusta, GA 30909
Phone (706) 447-4343
750 Linwood Blvd
Ste A
Columbus, GA 31901
Phone (706) 649-4566
425 Franklin Gtwy SE
Ste 535
Marietta, GA 30067
Phone (770) 420-3393
805 Franklin Ct SE
Ste A
Marietta, GA 30067
Phone (770) 420-3393
1000 Business Center Dr
Ste 120
Savannah, GA 31405
Phone (912) 232-1588
15529 College Blvd
Lenexa, KS 66219
Phone (877) 342-9352
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Marietta, GA
- NPI 1811235336
-
- Critical Care Pharmacist
- Marietta, GA
- NPI 1902252836
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1778112000000",
"number": "1952490641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 OPTUM CIR STE 100",
"city": "EDEN PRAIRIE",
"state": "MN",
"postal_code": "553442956",
"telephone_number": "800-328-5979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 FRANKLIN GATEWAY, SUITE 535",
"city": "MARIETTA",
"state": "GA",
"postal_code": "30067",
"telephone_number": "800-925-9749",
"fax_number": "844-243-3370"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OPTUM INFUSION SERVICES 209, INC,",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-12",
"last_updated": "2026-05-07",
"certification_date": "2026-05-07",
"status": "A",
"authorized_official_last_name": "MCCABE",
"authorized_official_first_name": "DENISE",
"authorized_official_title_or_position": "SECRETARY",
"authorized_official_telephone_number": "952-935-1191"
},
"taxonomies": [
{
"code": "332BP3500X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
"state": null,
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336H0001X",
"taxonomy_group": "",
"desc": "Pharmacy, Home Infusion Therapy Pharmacy",
"state": null,
"license": null,
"primary": true
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.