KENNESAW MEDICAL SUPPLY (NPI# 1619191137) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619191137 |
| Entity Type | Organization |
| Organization Name | KENNESAW MEDICAL SUPPLY |
| Practice Address |
3600 Cherokee St Nw Suite 120 Kennesaw GA 30144-2027 |
| Practice Telephone | 7704258709 |
| Practice Fax Number | 7704258744 |
| Mailing Telephone | 7704258709 |
| Mailing Fax Number | 7704258744 |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2008-08-12 |
| Authorized Official Name | GIOVANNA TAMARA HERNANDEZ (OWNER) |
| Authorized Official Telephone | 7709746797 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Street Address |
3600 CHEROKEE ST NW SUITE 120 |
| City | KENNESAW |
| State | GA |
| Zip Code | 30144-2027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497176572 | David Eric Olson | Dentist | 3600 Cherokee St Nw, Suite 117, Kennesaw, GA 30144-2027 | 2013-12-17 |
| 1598195836 | Carol Hoover Olson | Dentist | 3600 Cherokee St Nw, Suite 117, Kennesaw, GA 30144-2027 | 2013-11-23 |
| 1639488315 | Trinity Pharmacy Inc. | Pharmacy | 3600 Cherokee St Nw, Suit 120, Kennesaw, GA 30144-2027 | 2010-09-29 |
| 1972779528 | Kennesaw Dental Associates, P,c. | Clinic/Center | 3600 Cherokee St Nw, Suite 117, Kennesaw, GA 30144-2027 | 2008-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205440054 | Physician Assistant Surgical Solutions | Surgery | 4290 Bells Ferry Road, Suite 134 - 1032, Kennesaw, GA 30144 | 2020-08-31 |
| 1487149340 | Creative Family Care Inc. | Social Worker | 1275 Shiloh Rd Nw Ste 3030, Kennesaw, GA 30144 | 2018-06-24 |
| 1033632203 | Octavio Andres Tobar | Specialist/Technologist | 1950 Barrett Lakes Blvd Nw Apt 1213, Kennesaw, GA 30144 | 2017-07-19 |
| 1851829220 | Sharon Mcmillan | Counselor | 1301 Shiloh Rd Nw Ste 1840, Kennesaw, GA 30144 | 2017-05-31 |
| 1073054680 | Metropolitan Health Care Plus Inc | Home Health | 445 Laurian Way, Kennesaw, GA 30144 | 2017-03-15 |
| 1649627969 | Caresouth Hha Holdings of Gainesville, LLC | Hospice Care, Community Based | 1000 Cobb Place Blvd Nw Ste 310, Kennesaw, GA 30144 | 2016-05-17 |
| 1851745988 | Joseph Mulligan | Social Worker | 1301 Shiloh Rd., Ste. 849, Kennesaw, GA 30144 | 2016-04-14 |
| 1629438601 | Youfit Health Clubs | Clinic/Center | 3895 Cherokee St Suite 100, Kennesaw, GA 30144 | 2016-03-03 |
| 1598156317 | Jodie Evans | Specialist | 1925 Vaughn Rd, Ste 200, Kennesaw, GA 30144 | 2015-02-16 |
| 1912302134 | Sleepmed Therapies, Inc. | Durable Medical Equipment & Medical Supplies | 1000 Cobb Place Blvd Nw Ste 510, Kennesaw, GA 30144 | 2014-10-30 |
| Find all providers in zip 30144 | ||||
| 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 |
|---|---|---|---|---|
| 1659986776 | Carmichael Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 2950 Cherokee St Nw Ste 620, Kennesaw, GA 30144-6505 | 2020-09-15 |
| 1407375546 | Home Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 3939 Royal Dr Nw Ste 109, Kennesaw, GA 30144-6453 | 2017-09-10 |
| 1780136051 | Daniel Richardson | Durable Medical Equipment & Medical Supplies | 1301 Shiloh Rd Nw Ste B, Kennesaw, GA 30144-7147 | 2016-11-02 |
| 1063879252 | Medcare Supply LLC | Durable Medical Equipment & Medical Supplies | 3939 Royal Dr Nw, Suite 139, Kennesaw, GA 30144-6452 | 2016-01-20 |
| 1912302134 | Sleepmed Therapies, Inc. | Durable Medical Equipment & Medical Supplies | 1000 Cobb Place Blvd Nw Ste 510, Kennesaw, GA 30144 | 2014-10-30 |
| 1386088219 | 4sourcegroup, LLC | Durable Medical Equipment & Medical Supplies | 840 Ernest W Barrett Pkwy Nw, Suite 572 440552, Kennesaw, GA 30144-6816 | 2013-04-22 |
| 1548571268 | Medical National Medical Supply Company, LLC | Durable Medical Equipment & Medical Supplies | 2716 Windsor Ct Nw, Kennesaw, GA 30144-6040 | 2010-06-28 |
| 1649405416 | Fuller Rehabilitation and Consulting Services, Inc. | Durable Medical Equipment & Medical Supplies | 975 Cobb Place Blvd Nw, Suite 212, Kennesaw, GA 30144-6899 | 2009-05-22 |
| 1942487178 | Cobb Medical Supply, Inc | Durable Medical Equipment & Medical Supplies | 3166 Cherokee St Nw Ste 101c, Kennesaw, GA 30144-2883 | 2008-01-30 |
| 1013072255 | Kennesaw Medical Supplies Inc | Durable Medical Equipment & Medical Supplies | 3055 N Main St Nw, Kennesaw, GA 30144-2787 | 2006-12-27 |
| Find all providers in KENNESAW | ||||
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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.