Active NPI
Genesis DME, Inc.
- Oxygen Equipment & Supplies (DME)
- Ashburn, GA
National Provider Identifier
1972902369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oxygen Equipment & Supplies (DME)
- Legal business name
- GENESIS DME, INC.
- Practice address
- 237 E. Washington Ave.
Ashburn, GA 31714 - Phone
- (229) 778-9160
- Fax
- (229) 778-9159
- NPI assigned
- Aug 21, 2014
- 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. Carolyn L Stauffer
- Title
- Operations Manager
- Phone
- (912) 285-5200
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Customized Equipment (DME) | 332BC3200X | |||
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | |||
| Oxygen Equipment & Supplies (DME) | 332BX2000X | Primary |
Addresses
Primary practice location
237 E. Washington Ave.
Ashburn, GA 31714
Mailing address
2501 Plant Ave
Waycross, GA 31501-6046
Phone (912) 285-5200
National Provider Directory
National Provider DirectoryLocations
237 E Washington Ave
Ashburn, GA 31714
Phone (229) 778-9160
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408579200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1418083200000",
"number": "1972902369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2501 PLANT AVE",
"city": "WAYCROSS",
"state": "GA",
"postal_code": "315016046",
"telephone_number": "912-285-5200",
"fax_number": "912-285-9378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "237 E. WASHINGTON AVE.",
"city": "ASHBURN",
"state": "GA",
"postal_code": "31714",
"telephone_number": "229-778-9160",
"fax_number": "229-778-9159"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GENESIS DME, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2014-08-21",
"last_updated": "2014-12-09",
"status": "A",
"authorized_official_last_name": "STAUFFER",
"authorized_official_first_name": "CAROLYN",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OPERATIONS MANAGER",
"authorized_official_telephone_number": "912-285-5200",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": null,
"license": null,
"primary": false
},
{
"code": "332BP3500X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
"state": null,
"license": null,
"primary": false
},
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ashburn, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.