AMERITA SOUTH ATLANTIC LLC (NPI# 1780224030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780224030 |
| Entity Type | Organization |
| Organization Name | AMERITA SOUTH ATLANTIC LLC |
| Other Organization Name | ADVANCED HOME INFUSION |
| Practice Address |
5901 Goshen Springs Rd Ste H Norcross GA 30071-3506 |
| Mailing Address |
6912 S Quentin St Suite 50 Centennial CO 80112 |
| Practice Telephone | 7705003834 |
| Practice Fax Number | 8339940847 |
| Mailing Telephone | 7202825411 |
| Mailing Fax Number | 8773025251 |
| Enumeration Date | 2020-01-14 |
| Last Update Date | 2020-01-15 |
| Authorized Official Name | JULIE ANGELA LUEDEMAN (CREDENTIALING ANALYST) |
| Authorized Official Telephone | 7202825411 |
| Is Organization Subpart | Y |
| Parent Organization Name | AMERITA, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
Suppliers | ||
| Y | 3336H0001X |
Pharmacy Specialization: Home Infusion Therapy Pharmacy |
Suppliers |
| Other Name | Type Code |
|---|---|
| Advanced Home Infusion | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841830197 | Amerita South Atlantic LLC | Durable Medical Equipment & Medical Supplies | 1231 Ne Maynard Rd Ste A, Cary, NC 27513-4175 | 2020-01-14 |
| 1588204846 | Amerita South Atlantic LLC | Durable Medical Equipment & Medical Supplies | 2520 Whitehall Park Dr Ste 1000, Charlotte, NC 28273 | 2020-01-14 |
| 1801436365 | Amerita South Atlantic LLC | Durable Medical Equipment & Medical Supplies | 105 Jack White Dr Ste B, Kingsport, TN 37664-2364 | 2020-01-13 |
| 1962041368 | Amerita South Atlantic LLC | Durable Medical Equipment & Medical Supplies | 4001 Piedmont Pkwy Ste 150, High Point, NC 27265-9402 | 2020-01-02 |
| 1215559703 | Amerita South Atlantic LLC | Durable Medical Equipment & Medical Supplies | 2424 India Hook Rd Ste 130, Rock Hill, SC 29732-1278 | 2020-05-07 |
| 1750921011 | Amerita South Atlantic LLC | Durable Medical Equipment & Medical Supplies | 30 Ebco Cir Ste 102, Waynesboro, VA 22980-7374 | 2020-01-14 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Amerita South Atlantic LLC | 805 N Whittington Pkwy Ste 400, Louisville, Kentucky 40222-5186 |
| North Carolina Corporations | Amerita South Atlantic LLC | 2626 Glenwood Ave Ste 550, Raleigh, NC 27608 |
| Street Address |
5901 GOSHEN SPRINGS RD STE H |
| City | NORCROSS |
| State | GA |
| Zip Code | 30071-3506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477199867 | 1st Senior Cares, LLC | Home Health | 7116 Peachtree Industrial Blvd. Bldg. 4, Ste. B, Peachtree Corners, GA 30071 | 2019-11-21 |
| 1124660048 | Phil Scafidi | Massage Therapist | 50 Skin Alley, Norcross, GA 30071 | 2019-10-11 |
| 1063071454 | Kenanesha Owens | Counselor | 3040 Holcolmb Bridge Rd Suite J2, Norcross, GA 30071 | 2019-06-10 |
| 1407318389 | 1st Senior Homecare, LLC | Home Health | 7116 Peachtree Industrial Blvd., Bldg 4 Suite A, Peachtree Corners, GA 30071 | 2019-04-01 |
| 1982163689 | Jk Acupuncture LLC | Acupuncturist | 5390 Peachtree Industrial Bl #101, Norcross, GA 30071 | 2019-03-13 |
| 1063990778 | First Senior Center | Clinic/Center | 7116 Peachtree Industrial Blvd, Bldg 4, Peachtree Corners, GA 30071 | 2018-08-03 |
| 1952896904 | Sonal P Patel | Physical Therapy Assistant | 4709 Peachtree Ind Blvd, Suite 106, Norcross, GA 30071 | 2018-06-22 |
| 1700392354 | Medlink Ems Inc | Ambulance | 6825 Jimmy Carter Blvd Ste 1303, Norcross, GA 30071 | 2017-12-19 |
| 1205377975 | David Kalisz II | Specialist/Technologist, Other | 1880 Beaver Ridge Circle Suite D, Norcross, GA 30071 | 2017-03-15 |
| 1356792519 | Tiffany Pope | Counselor | 6045 Atlantic Blvd Ste 108, Norcross, GA 30071 | 2016-06-28 |
| Find all providers in zip 30071 | ||||
| Taxonomy Code | 3336H0001X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Home Infusion Therapy Pharmacy |
| Pharmacy-based, decentralized patient care organization with expertise in USP 797-compliant sterile drug compounding that provides care to patients with acute or chronic conditions generally pertaining to parenteral administration of drugs, biologics and nutritional formulae administered through catheters and/or needles in home and alternate sites. Extensive professional pharmacy services, care coordination, infusion nursing services, supplies and equipment are provided to optimize efficacy and compliance. |
| Notes: Source: National Home Infusion Association [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851721047 | Advanced Home Care Inc | Pharmacy | 5901 Goshen Springs Rd, Ste G, Norcross, GA 30071 | 2013-11-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487990271 | Citadel Infusion Services LLC | Pharmacy | 2121 New Market Pkwy Se Ste 126, Marietta, GA 30067-9309 | 2012-12-24 |
| 1386876597 | Appalachian Home Infusion LLC | Pharmacy | 14 Sammy Mcghee Blvd Ste 103, Jasper, GA 30143-7722 | 2009-08-20 |
| 1275785743 | Pharmaceutical Specialties Inc | Pharmacy | 958 Mcever Rd, Suite B-8, Gainesville, GA 30504-3972 | 2008-10-16 |
| 1780293035 | The Hospital Authority of Miller County | Pharmacy | 213 Delores Street, Colquitt, GA 39837 | 2020-07-23 |
| 1316463417 | Hemogen Rx LLC | Pharmacy | 84 Helen Hwy, Cleveland, GA 30528 | 2017-08-21 |
| 1558510891 | Hamilton Medical Center Inc | Pharmacy | 1200 Memorial Dr, Dalton, GA 30720-2529 | 2008-09-11 |
| 1770762304 | Walker Home Medical | Pharmacy | 1100 Eisenhower Dr, Ste 19, Savannah, GA 31406-3923 | 2007-10-31 |
| 1932326402 | Health Tech Innovations | Pharmacy | 212 Northside Dr, Valdosta, GA 31602-1858 | 2007-04-19 |
| 1497894497 | 1st America Health Services, Inc. | Pharmacy | 212 Northside Dr, Valdosta, GA 31602-1858 | 2007-02-06 |
| 1801935259 | Walker Home Medical | Pharmacy | 100 Brampton Ave, Ste 1f, Statesboro, GA 30458-0827 | 2007-02-05 |
| Find all providers with the same taxonomy | ||||
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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.