Active NPI
Drawbridge Medical LLC
- Durable Medical Equipment & Medical Supplies
- Smyrna, GA
National Provider Identifier
1972920924
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 3560
- Legal business name
- DRAWBRIDGE MEDICAL LLC
- Practice address
- 5700 Highlands Pkwy SE
Ste 100
Smyrna, GA 30082-5142 - Phone
- (678) 486-7262
- NPI assigned
- Mar 27, 2014
- Last updated
- Jul 17, 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
- Scott Damron
- Title
- Managing Member
- Phone
- (678) 486-7262
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 3560 | GA | Primary |
Addresses
Primary practice location
5700 Highlands Pkwy SE
Ste 100
Smyrna, GA 30082-5142
Mailing address
5700 Highlands Pkwy SE
Ste 100
Smyrna, GA 30082-5142
Phone (678) 486-7262
National Provider Directory
National Provider DirectoryLocations
5700 Highlands Pkwy SE
Ste 100A
Smyrna, GA 30082
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395878400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1405555200000",
"number": "1972920924",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5700 HIGHLANDS PKWY SE",
"address_2": "STE 100",
"city": "SMYRNA",
"state": "GA",
"postal_code": "300825142",
"telephone_number": "678-486-7262",
"fax_number": "678-309-0903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5700 HIGHLANDS PKWY SE",
"address_2": "STE 100",
"city": "SMYRNA",
"state": "GA",
"postal_code": "300825142",
"telephone_number": "678-486-7262"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DRAWBRIDGE MEDICAL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-03-27",
"last_updated": "2014-07-17",
"status": "A",
"authorized_official_last_name": "DAMRON",
"authorized_official_first_name": "SCOTT",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "678-486-7262"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "GA",
"license": "3560",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Smyrna, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.