Active NPI
Cavells Inc
- Durable Medical Equipment & Medical Supplies
- Lawrenceville, GA
National Provider Identifier
1972910768
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150410002093 | GA | DME Supplier - Medical Supply Company | 7911194840 | Practice locations: Lawrenceville, GA |
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Cavells Specialty Boutique | Breast Prostheses and/or Accessories|Lymphedema Compression Treatment Items | Does not accept assignment |
National Provider Directory
National Provider DirectoryLocations
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.