COTTON ANCILLARY SERVICES, LLC (NPI# 1194737809) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194737809 |
| Entity Type | Organization |
| Organization Name | COTTON ANCILLARY SERVICES, LLC |
| Other Organization Name | BRENTWOOD ANCILLARY SERVICES, LLC |
| Practice Address |
2862 Johnson Ferry Rd Suite 200 Marietta GA 30062-8342 |
| Practice Telephone | 7706506672 |
| Practice Fax Number | 7706506682 |
| Mailing Telephone | 7706506672 |
| Mailing Fax Number | 7706506682 |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2010-02-08 |
| Authorized Official Name | MR. M. SCOTT HARDIN II (PRESIDENT) |
| Authorized Official Telephone | 7706506672 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200803670 | 05 | |
| AL | 009913998 | 05 | |
| GA | 000904879A | 05 | |
| TN | 4582219 | 05 |
| Other Name | Type Code |
|---|---|
| Brentwood Ancillary Services, LLC | Former Legal Business Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oklahoma Business Registrations | COTTON ANCILLARY SERVICES, LLC | 2862 Johnson Ferry Rd Ste 200 & 250, Marietta, GA 30062 |
| Indiana Business Entities | COTTON ANCILLARY SERVICES, LLC | 2862 Johnson Ferry Rd, Ste 200, Marietta, GA 30062-8343 |
| Street Address |
2862 JOHNSON FERRY RD SUITE 200 |
| City | MARIETTA |
| State | GA |
| Zip Code | 30062-8342 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275873754 | Kristina Cooke | Social Worker | 2862 Johnson Ferry Rd, Suite 250, Marietta, GA 30062-8342 | 2013-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619578051 | Pamela D Kretzmer | Social Worker | 3855 Shallowford Road, Suite 420, Marietta, GA 30062 | 2020-11-03 |
| 1932714680 | Michelle Chambless | Physical Therapist | Team Rehabilitation Ga01, LLC, 1401 Johnson Ferry Road, Suite 340, Marietta, GA 30062 | 2020-09-10 |
| 1700408887 | Life University | Chiropractor | 1323 Roswell Road, Marietta, GA 30062 | 2020-05-12 |
| 1104451160 | Sno Healthcare Group | Clinic/Center | 2424 Roswell Rd Ste 120, Marietta, GA 30062 | 2020-03-10 |
| 1811536212 | Sandy Plains Dental Group, PC | Dentist | 3460 Sandy Plains Rd, Suite 240, Marietta, GA 30062 | 2020-01-02 |
| 1073159034 | Magdala Tulcie Jodesty-jackson | Social Worker | 4343 Shalloword Road, Building H, Suite 4 Lower Level, Marietta, GA 30062 | 2019-11-25 |
| 1598235178 | Matthew Driggers | Counselor | 4343 Shallowford Rd C2, Marietta, GA 30062 | 2018-11-27 |
| 1750895785 | Emily Grace Minday | Counselor | 4343 Shallowford Road Building C, Suite 1 Lower Level, Marietta, GA 30062 | 2017-11-29 |
| 1477072122 | Jason Lee Amos | Speech-Language Pathologist | 3660 Chestnut Ridge Court, Marietta, GA 30062 | 2017-09-13 |
| 1346761376 | Marian Pomaah Opoku-agyeman | Nurse Practitioner | 4661 Andrea Pointe, Marietta, GA 30062 | 2017-06-29 |
| Find all providers in zip 30062 | ||||
| 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 |
|---|---|---|---|---|
| 1164045548 | My Chronic Care Management | Durable Medical Equipment & Medical Supplies | 20 Whitlock Pl Sw Ste 101, Marietta, GA 30064-3176 | 2020-05-20 |
| 1508495953 | Sns Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 631 Campbell Hill St Nw Ste 100, Marietta, GA 30060-1390 | 2020-04-07 |
| 1679125538 | Ogles Oxygen, LLC | Durable Medical Equipment & Medical Supplies | 1890 W Oak Pkwy Ste A, Marietta, GA 30062-2278 | 2019-07-11 |
| 1609338326 | Green Wood Berry Holdings LLC | Durable Medical Equipment & Medical Supplies | 509 Gramercy Dr Ne, Marietta, GA 30068-4873 | 2019-04-02 |
| 1508358714 | Mbs Wellness Group, LLC | Durable Medical Equipment & Medical Supplies | 62 Shawnee Trail Se, Marietta, GA 30067 | 2018-06-04 |
| 1487183224 | Damon Iler | Durable Medical Equipment & Medical Supplies | 428 Marble Mill Rd Nw Unit A, Marietta, GA 30060 | 2017-06-06 |
| 1659825198 | Lonnie Johnson | Durable Medical Equipment & Medical Supplies | 1750 Powder Springs Rd Sw Ste 190, Marietta, GA 30064-4861 | 2016-08-13 |
| 1316334261 | Lincare Inc | Durable Medical Equipment & Medical Supplies | 718 Cherokee St, Marietta, GA 30060-7253 | 2015-04-17 |
| 1760872923 | Advanced Home Care Inc | Durable Medical Equipment & Medical Supplies | 800 Whitlock Ave Nw, Ste 126, Marietta, GA 30064-4664 | 2015-01-27 |
| 1003212457 | Zenartis Health Services LLC | Durable Medical Equipment & Medical Supplies | 1110 Northchase Pkwy Se, Suite 180, Marietta, GA 30067-6408 | 2014-11-13 |
| Find all providers in MARIETTA | ||||
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| 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.