PRIMARY CARE MEDICAL SUPPLY OF ATLANTA LLC (NPI# 1194266247) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194266247 |
| Entity Type | Organization |
| Organization Name | PRIMARY CARE MEDICAL SUPPLY OF ATLANTA LLC |
| Practice Address |
4760 Hammermill Rd Ste 205 Tucker GA 30084-6612 |
| Practice Telephone | 7708818010 |
| Mailing Telephone | 7708818010 |
| Enumeration Date | 2017-03-08 |
| Last Update Date | 2017-03-29 |
| Authorized Official Name | MS. DEBORAH BLAIR (MANAGER) |
| Authorized Official Telephone | 6784649591 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Street Address |
4760 HAMMERMILL RD STE 205 |
| City | TUCKER |
| State | GA |
| Zip Code | 30084-6612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609401355 | Excellent Medical Transport | Ambulance | 4378 Sentry Dr, Tucker, GA 30084 | 2020-03-03 |
| 1811468796 | Caleb Lee Ebbets | Physical Therapist | 1459 Montreal Road, Medical Office Building, Suite 301, Tucker, GA 30084 | 2018-12-17 |
| 1417436130 | Benjamin Han Wook Chong | Physical Therapist | 1460 Montreal Road East, Suite 300, Tucker, GA 30084 | 2018-08-13 |
| 1336659325 | Lavista Acupuncture and Herbal Medicine | Acupuncturist | 4915 Lavista Rd, Tucker, GA 30084 | 2017-10-04 |
| 1699294207 | Debrica Butler | Counselor | 1021 Oak Chase Dr., Apt C, Tucker, GA 30084 | 2017-09-14 |
| 1295264695 | Jolanta Wazgowska Hopkins | Social Worker | 4404 Idlewood Lane, Tucker, GA 30084 | 2017-06-08 |
| 1164956157 | Sage Dental Group of Georgia LLC | Dentist | 4320 Lavista Rd, Suite C119, Tucker, GA 30084 | 2017-04-17 |
| 1689107807 | Mashail Manzur | Podiatrist | 1460 Montreal Rd E, Ste 275, Tucker, GA 30084 | 2017-04-05 |
| 1053765578 | Jessica Spruyt | Speech-Language Pathologist | 3756 Lavista Rd Suite 104, Tucker, GA 30084 | 2016-04-21 |
| 1265802318 | Spine and Orthopedics of Atlanta, LLC | Clinic/Center | 1462 Montreal Rd Ste 218, Tucker, GA 30084 | 2015-10-01 |
| Find all providers in zip 30084 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861056806 | Hoveround Corporation | Durable Medical Equipment & Medical Supplies | 5060 N Royal Atlanta Dr Ste 5, Tucker, GA 30084-3077 | 2019-04-25 |
| 1649722240 | Percussive Air | Durable Medical Equipment & Medical Supplies | 4395 Sentry Dr, Tucker, GA 30084-6512 | 2016-10-29 |
| 1023350329 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 3201 Tucker Norcross Rd, Tucker, GA 30084-2150 | 2013-03-25 |
| 1700018850 | Frontier Marketing of Georgia, Inc | Durable Medical Equipment & Medical Supplies | 4947 Lavista Rd, Tucker, GA 30084-4437 | 2009-08-21 |
| 1720266737 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 5201 Lavista Rd, Tucker, GA 30084-3604 | 2008-02-01 |
| 1306022330 | Abagan Medical Supplies | Durable Medical Equipment & Medical Supplies | 2179 Northlake Pkwy Ste 20, Tucker, GA 30084-4106 | 2008-01-22 |
| 1730388026 | Mcgehee's Medical Supply Company | Durable Medical Equipment & Medical Supplies | 4679 Hugh Howell Rd Ste B, Tucker, GA 30084-5005 | 2007-07-16 |
| 1316065626 | Georgia Cpm | Durable Medical Equipment & Medical Supplies | 1479 Brockett Rd, Suite 101, Tucker, GA 30084-7326 | 2007-03-26 |
| 1265533020 | The Home Medical Equipment & Supply Store | Durable Medical Equipment & Medical Supplies | 4377 Hugh Howell Rd, Suite A, Tucker, GA 30084-4706 | 2006-09-26 |
| 1316969108 | Georgia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 4241 Lavista Rd, Tucker, GA 30084-5310 | 2006-07-24 |
| Find all providers in TUCKER | ||||
Please comment or provide details below to improve the information on PRIMARY CARE MEDICAL SUPPLY OF ATLANTA LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.