Organization Active NPI

Weatherly Medical/Consultants, Inc.

  • Customized Equipment (DME)
  • Savannah, GA
National Provider Identifier
1962440347
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
License
532291 Issued in GA
Legal business name
WEATHERLY MEDICAL/CONSULTANTS, INC.
Practice address
7135 Hodgson Memorial Dr
Suite 1a
Savannah, GA 31406-2535
Phone
(912) 351-0760
Fax
(912) 351-0830
NPI assigned
Jun 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dan Weatherly
Title
President/Owner
Phone
(912) 351-0760

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X 532291 GA Primary

Addresses

Primary practice location

7135 Hodgson Memorial Dr
Suite 1a
Savannah, GA 31406-2535

Mailing address

PO Box 395
Tybee Island, GA 31328-0395
Phone (912) 351-0760

Other identifiers 1

IdentifierTypeStateIssuer
DE1066MedicaidSC

National Provider Directory

National Provider Directory

Locations

7135 Hodgson Memorial Dr
Ste 1A
Savannah, GA 31406
Phone (912) 351-0760

NPI Registry JSON

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962440347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 395",
            "city": "TYBEE ISLAND",
            "state": "GA",
            "postal_code": "313280395",
            "telephone_number": "912-351-0760",
            "fax_number": "912-351-0830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7135 HODGSON MEMORIAL DR",
            "address_2": "SUITE 1A",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314062535",
            "telephone_number": "912-351-0760",
            "fax_number": "912-351-0830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEATHERLY MEDICAL/CONSULTANTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WEATHERLY",
        "authorized_official_first_name": "DAN",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "912-351-0760"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "GA",
            "license": "532291",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DE1066",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.