Active NPI
Medfaxx,Inc.
- Durable Medical Equipment & Medical Supplies
- Wake Forest, NC
National Provider Identifier
1962579177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- MEDFAXX,INC.
- Practice address
- 525 S. White St.
Wake Forest, NC 27587-2920 - Phone
- (919) 570-0350
- Fax
- (919) 570-0354
- NPI assigned
- Nov 30, 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
- Mrs. Elizabeth G. Johnson, P.T.
- Title
- President
- Phone
- (919) 570-0350
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 000977949 | NC | |
| Durable Medical Equipment & Medical Supplies | 332B00000X | NC | Primary |
Addresses
Primary practice location
525 S. White St.
Wake Forest, NC 27587-2920
Mailing address
P.O. Box 1289
Wake Forest, NC 27588-1289
Phone (919) 570-0350
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03502 | Other | NC | BCBS NC |
| 7701361 | Medicaid | NC | |
| 03502 | Other | NC | BCBS |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164844800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1248393600000",
"number": "1962579177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 1289",
"city": "WAKE FOREST",
"state": "NC",
"postal_code": "275881289",
"telephone_number": "919-570-0350",
"fax_number": "919-570-0354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 S. WHITE ST.",
"city": "WAKE FOREST",
"state": "NC",
"postal_code": "275872920",
"telephone_number": "919-570-0350",
"fax_number": "919-570-0354"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDFAXX,INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-30",
"last_updated": "2009-07-24",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "ELIZABETH",
"authorized_official_middle_name": "G.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "919-570-0350",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "P.T."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NC",
"license": "000977949",
"primary": false
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NC",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS NC",
"identifier": "03502",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7701361",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "03502",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wake Forest, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.