Goodhealth Medical Supplies, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

GOODHEALTH MEDICAL SUPPLIES, INC.

Practice address

223 Scenic Hwy
Suite 103
Lawrenceville, GA 30045-5603

Phone

(770) 963-3800

Fax

(770) 963-3860

NPI assigned

May 5, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Kingsley U. Ogbuagu

Title

President

Phone

(770) 963-3800

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• GWINNETT MEDICAL SUPPLY, LLC. Doing business as

Locations

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982652467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 SCENIC HWY",
            "address_2": "SUITE 103",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300455603",
            "telephone_number": "770-963-3800",
            "fax_number": "770-963-3860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 SCENIC HWY",
            "address_2": "SUITE 103",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300455603",
            "telephone_number": "770-963-3800",
            "fax_number": "770-963-3860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODHEALTH MEDICAL SUPPLIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OGBUAGU",
        "authorized_official_first_name": "KINGSLEY",
        "authorized_official_middle_name": "U.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-963-3800",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "14322640A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GWINNETT MEDICAL SUPPLY, LLC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Harrison B Goodno, MD
• Caitlyn Goodroe

• Durable Medical Equipment & Medical Supplies in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Durable Medical Equipment & Medical Supplies in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.