Organization Active NPI

Cumberland Supply Inc

  • Durable Medical Equipment & Medical Supplies
  • Atlanta, GA
National Provider Identifier
1982144374
Registry record updated Mar 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
CUMBERLAND SUPPLY INC
Practice address
3625 Cumberland Blvd SE Ste 130
Atlanta, GA 30339-3391
Phone
(470) 484-2126
NPI assigned
Mar 3, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2017

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

Authorized official

Name
Mary Jolly
Title
President
Phone
(470) 484-2126

Specialties & licenses 1

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

Addresses

Primary practice location

3625 Cumberland Blvd SE Ste 130
Atlanta, GA 30339-3391

Mailing address

3625 Cumberland Blvd SE Ste 130
Atlanta, GA 30339-3391
Phone (470) 484-2126

National Provider Directory

National Provider Directory

Locations

3625 Cumberland Blvd SE
Ste 130
Atlanta, GA 30339
Phone (470) 484-2126

NPI Registry JSON

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

{
    "created_epoch": "1488499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488499200000",
    "number": "1982144374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3625 CUMBERLAND BLVD SE STE 130",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303393391",
            "telephone_number": "470-484-2126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3625 CUMBERLAND BLVD SE STE 130",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303393391",
            "telephone_number": "470-484-2126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUMBERLAND SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-03",
        "last_updated": "2017-03-03",
        "status": "A",
        "authorized_official_last_name": "JOLLY",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "470-484-2126"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2017; 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.