Southern Medical Supply of Georgia (LLC)

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

SOUTHERN MEDICAL SUPPLY OF GEORGIA (LLC)

Practice address

7183 Jonesboro Rd
#100-A
Morrow, GA 30260-2955

Phone

(678) 369-1009

Fax

(678) 426-6777

NPI assigned

Mar 24, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Kaynecia Morrow

Title

Manager

Phone

(678) 369-1009

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1458777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467158400000",
    "number": "1992167316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7183 JONESBORO RD",
            "address_2": "#100-A",
            "city": "MORROW",
            "state": "GA",
            "postal_code": "302602955",
            "telephone_number": "678-369-1009",
            "fax_number": "678-426-6777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7183 JONESBORO RD",
            "address_2": "#100-A",
            "city": "MORROW",
            "state": "GA",
            "postal_code": "302602955",
            "telephone_number": "678-369-1009",
            "fax_number": "678-426-6777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN MEDICAL SUPPLY OF GEORGIA (LLC)",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-24",
        "last_updated": "2016-06-29",
        "status": "A",
        "authorized_official_last_name": "MORROW",
        "authorized_official_first_name": "KAYNECIA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "678-369-1009",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2016; 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.