Organization Active NPI

Scooter Repair Center Plus

  • Durable Medical Equipment & Medical Supplies
  • Athens, GA
National Provider Identifier
1972984813
Registry record updated Jun 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
GA4569 Issued in GA
Legal business name
SCOOTER REPAIR CENTER PLUS
Practice address
4719 Atlanta Hwy
Athens, GA 30606-0716
Phone
(770) 985-6985
Fax
(770) 585-2635
NPI assigned
Jun 16, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2015

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

Authorized official

Name
Randy Davenport
Title
Operations Manager
Phone
(706) 612-9856

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X GA4569 GA Primary

Addresses

Primary practice location

4719 Atlanta Hwy
Athens, GA 30606-0716

Mailing address

4719 Atlanta Hwy
Athens, GA 30606-0716
Phone (770) 985-6985

National Provider Directory

National Provider Directory

Locations

4719 Atlanta Hwy
Athens, GA 30606
Phone (770) 985-6985

NPI Registry JSON

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

{
    "created_epoch": "1434412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434412800000",
    "number": "1972984813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4719 ATLANTA HWY",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306060716",
            "telephone_number": "770-985-6985",
            "fax_number": "770-585-2635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4719 ATLANTA HWY",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306060716",
            "telephone_number": "770-985-6985",
            "fax_number": "770-585-2635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOOTER REPAIR CENTER PLUS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-16",
        "last_updated": "2015-06-16",
        "status": "A",
        "authorized_official_last_name": "DAVENPORT",
        "authorized_official_first_name": "RANDY",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "706-612-9856"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "GA",
            "license": "GA4569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2015; 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.