PEACH STATE MEDICAL SUPPLIES, LLC (NPI# 1669577185) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669577185 |
| Entity Type | Organization |
| Organization Name | PEACH STATE MEDICAL SUPPLIES, LLC |
| Practice Address |
11815 Northfall Ln Suite 1003 Alpharetta GA 30004-7973 |
| Practice Telephone | 6784460894 |
| Practice Fax Number | 7703469394 |
| Mailing Telephone | 6784460894 |
| Mailing Fax Number | 7703469394 |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2008-03-18 |
| Authorized Official Name | ANDREW ROBERT GOLDE (VICE-PRESIDENT) |
| Authorized Official Telephone | 4048429939 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Street Address |
11815 NORTHFALL LN SUITE 1003 |
| City | ALPHARETTA |
| State | GA |
| Zip Code | 30004-7973 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821004284 | Carol A Difabio | Counselor | 11815 Northfall Ln, Ste. 1006, Alpharetta, GA 30004-7973 | 2006-07-31 |
| 1750909339 | Saerem Healthcare LLC | Community/Behavioral Health | 11815 Northfall Ln, Alpharetta, GA 30009-7973 | 2020-07-09 |
| 1477008761 | Bright Futures Child and Family Therapy, PC | Counselor | 11815 Northfall Ln, Suite #1006, Alpharetta, GA 30009-7973 | 2016-08-17 |
| 1982054334 | Keren Drits | Counselor | 11815 Northfall Ln, Suite 1006, Alpharetta, GA 30009-7973 | 2016-06-16 |
| 1801292008 | Carol A. Difabio, Lpc, PC | Community/Behavioral Health | 11815 Northfall Ln, Ste. 1006, Alpharetta, GA 30009-7973 | 2014-11-15 |
| 1770925828 | Camille Scent | Counselor | 11815 Northfall Ln, Alpharetta, GA 30009-7973 | 2013-07-17 |
| 1184980369 | Susan Lw Miller Ms LLC | Counselor | 11815 Northfall Ln, Suite 1006, Alpharetta, GA 30009-7973 | 2012-04-02 |
| 1073813820 | Jo-anne T Liakakos | Counselor | 11815 Northfall Ln, Suite 1006, Alpharetta, GA 30009-7973 | 2010-10-27 |
| 1699912220 | Linda A. Gullatte | Counselor | 11815 Northfall Ln, Suite 1006, Alpharetta, GA 30009-7973 | 2009-01-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366065823 | Rena Wilson | Neuromusculoskeletal Medicine, Sports Medicine | 3442 Francis Road Suite 130, Alpharetta, UNITED STATES 30004 | 2020-05-19 |
| 1538665963 | Pinnacle Endodontics of Crabapple, LLC | Dentist | 12250 Crabapple Road, Alpharetta, GA 30004 | 2018-04-04 |
| 1508369372 | Michael William Freeman | Chiropractor | 12389 Crabapple Road, Alpharetta, GA 30004 | 2018-03-17 |
| 1457851040 | Dzeneta Krndzija | Nurse Practitioner | 2980 Serenade Ct., Milton, GA 30004 | 2018-02-20 |
| 1881109684 | B.spectacled | Optometrist | 50 Canton Street, Ste 112, Alpharetta, GA 30004 | 2017-12-04 |
| 1477094498 | Caroline Sassetti-hryczyk | Nurse Practitioner | 162 Taylor Ridge Way, Milton, GA 30004 | 2017-03-09 |
| 1043696735 | Caregiver Health Solutions, LLC | Home Health | 3505 Peacock Rd, Alpharetta, GA 30004 | 2015-08-04 |
| 1124418371 | Francella Bonilla | Physical Therapy Assistant | 4805 Waterbrooke Xing, Alpharetta, GA 30004 | 2015-01-27 |
| 1548672082 | Crabapple Smiles Dental Group PC | Dentist | 12460 Crabapple Road, Suite 801, Alpharetta, GA 30004 | 2014-06-02 |
| 1578988697 | Heartland Dental Care of Georgia, P.C. | Dentist | 12988 Georgia Highway 9, Milton, GA 30004 | 2014-02-26 |
| Find all providers in zip 30004 | ||||
| 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 |
|---|---|---|---|---|
| 1003455965 | Full Motion Medical | Durable Medical Equipment & Medical Supplies | 8000 Avalon Blvd Ste 100, Alpharetta, GA 30009-2469 | 2019-12-24 |
| 1518424373 | Medworx Home Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 1020 Nine North Dr Ste A, Alpharetta, GA 30004-2911 | 2019-02-27 |
| 1215428685 | Advanced Cosmetic and Family Dentistry, PC | Durable Medical Equipment & Medical Supplies | 4205 North Point Parkway Bldg D, Alpharetta, GA 30022 | 2018-05-22 |
| 1568974749 | Pristine Medical Services,inc | Durable Medical Equipment & Medical Supplies | 13065 New Providence Rd, Alpharetta, GA 30004-7303 | 2017-10-28 |
| 1376066985 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3719 Old Alabama Rd Bldg 100, Alpharetta, GA 30022-8675 | 2017-07-25 |
| 1710331145 | Onpoint Medical Supply, Inc | Durable Medical Equipment & Medical Supplies | 3420 Archgate Ct, Alpharetta, GA 30004-3246 | 2016-04-22 |
| 1386065498 | Home Infusion Solutions LLC | Durable Medical Equipment & Medical Supplies | Two Point Royal 4550 North Point Parkway, Suite 145, Alpharetta, GA 30022 | 2013-12-17 |
| 1588802474 | Peachtree Orthopaedic Clinic | Durable Medical Equipment & Medical Supplies | 11800 Amber Park Dr., Parkway 400 Building One Suite 200, Alpharetta, GA 30009 | 2009-01-30 |
| 1497905657 | Access Healthcare Products, LLC | Durable Medical Equipment & Medical Supplies | 555 N Point Ctr E Fl 4, Alpharetta, GA 30022-8269 | 2008-09-24 |
| 1497904072 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 12305 Crabapple Rd, Alpharetta, GA 30004-6328 | 2008-09-18 |
| Find all providers in ALPHARETTA | ||||
| City | ALPHARETTA |
| Zip Code | 30004 |
Please comment or provide details below to improve the information on PEACH STATE MEDICAL SUPPLIES, 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.