Organization Active NPI

Medmart Plus LLC

  • Durable Medical Equipment & Medical Supplies
  • Snellville, GA
National Provider Identifier
1962642124
Registry record updated Mar 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MEDMART PLUS LLC
Practice address
3555 Centerville Hwy Ste 103
Snellville, GA 30039-6457
Phone
(770) 982-5050
Fax
(770) 982-5053
NPI assigned
Mar 2, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2010

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

Authorized official

Name
Claude Echols
Title
Presdient
Phone
(770) 982-5051

Specialties & licenses 1

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

Addresses

Primary practice location

3555 Centerville Hwy Ste 103
Snellville, GA 30039-6457

Mailing address

3555 Centerville Hwy Suite103
Snellville, GA 30039
Phone (770) 982-5050

National Provider Directory

National Provider Directory

Locations

2410 DeKalb Medical Pkwy
Ste B
Lithonia, GA 30058
Phone (770) 982-5050

NPI Registry JSON

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

{
    "created_epoch": "1235952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269388800000",
    "number": "1962642124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3555 CENTERVILLE HWY SUITE103",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "30039",
            "telephone_number": "770-982-5050",
            "fax_number": "770-982-5053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3555 CENTERVILLE HWY STE 103",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300396457",
            "telephone_number": "770-982-5050",
            "fax_number": "770-982-5053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDMART PLUS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-02",
        "last_updated": "2010-03-24",
        "status": "A",
        "authorized_official_last_name": "ECHOLS",
        "authorized_official_first_name": "CLAUDE",
        "authorized_official_title_or_position": "PRESDIENT",
        "authorized_official_telephone_number": "770-982-5051"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Snellville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2010; 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.