Organization Active NPI

Drawbridge Medical LLC

  • Durable Medical Equipment & Medical Supplies
  • Smyrna, GA
National Provider Identifier
1972920924
Registry record updated Jul 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
3560 Issued in GA
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, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2014

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.