Organization Active NPI

Cavells Inc

  • Durable Medical Equipment & Medical Supplies
  • Lawrenceville, GA
National Provider Identifier
1972910768
Registry record updated Jan 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
CAVELLS INC
Doing business as
CAVELL'S SPECIALTY BOUTIQUE
Practice address
631 Professional Dr
Suite 230
Lawrenceville, GA 30046-3367
Phone
(770) 972-7200
Fax
(770) 972-7900
NPI assigned
Jul 14, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2021

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

Authorized official

Name
Mrs. Ashley S Thompson
Title
Owner/Ceo
Phone
(770) 972-7200

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary
Prosthetic/Orthotic Supplier 335E00000X

Addresses

Primary practice location

631 Professional Dr
Suite 230
Lawrenceville, GA 30046-3367

Mailing address

631 Professional Dr Ste 230
Lawrenceville, GA 30046-3397
Phone (770) 972-7200

Other names 1

  • CAVELL'S SPECIALTY BOUTIQUE Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150410002093 GA DME Supplier - Medical Supply Company 7911194840 Practice locations: Lawrenceville, GA

Laboratory certificates & supplier records

Derived by NPIMap

These 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

SupplierSuppliesMedicare assignment
Cavells Specialty Boutique631 Professional Dr, Lawrenceville, GA 30046-3397(770) 972-7200 Breast Prostheses and/or Accessories|Lymphedema Compression Treatment Items Does not accept assignmentParticipating since Jan 1, 2015

National Provider Directory

National Provider Directory

Locations

631 Professional Dr
Ste 230
Lawrenceville, GA 30046
Phone (770) 972-7200

NPI Registry JSON

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

{
    "created_epoch": "1405296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610409600000",
    "number": "1972910768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631 PROFESSIONAL DR STE 230",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300463397",
            "telephone_number": "770-972-7200",
            "fax_number": "770-972-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 PROFESSIONAL DR",
            "address_2": "SUITE 230",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300463367",
            "telephone_number": "770-972-7200",
            "fax_number": "770-972-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAVELLS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-14",
        "last_updated": "2021-01-12",
        "certification_date": "2021-01-12",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "770-972-7200",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CAVELL'S SPECIALTY BOUTIQUE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CAVELL'S SPECIALTY BOUTIQUE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lawrenceville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2021; 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.

Verify at the official NPI Registry.