DIGITRACE CARE SERVICES INC (NPI# 1952588568) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952588568 |
| Entity Type | Organization |
| Organization Name | DIGITRACE CARE SERVICES INC |
| Practice Address |
900 Sanders Rd Cumming GA 30041-5960 |
| Mailing Address |
60 Chastain Center Blvd Nw Suite 66 Kennesaw GA 30144-5598 |
| Practice Telephone | 6784556755 |
| Mailing Telephone | 7705925544 |
| Enumeration Date | 2008-01-25 |
| Last Update Date | 2009-10-15 |
| Authorized Official Name | CARL IBERGER (EVP/CFO) |
| Authorized Official Telephone | 9785367400 |
| 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 |
|---|---|---|---|
| AETNA | 7618325 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720280936 | Digitrace Care Services Inc | Clinic/Center | 4923 Olgletown Rd, Newark, DE 19713 | 2007-06-01 |
| 1003035510 | Digitrace Care Services Inc | Clinic/Center | 6931 Arlington Rd, T300-a, Bethesda, MD 20814-5231 | 2007-04-24 |
| 1144340258 | Digitrace Care Services Inc | Physiological Laboratory | 8700 N Stemmons Fwy, Suite 135, Dallas, TX 75247-3729 | 2007-03-30 |
| 1184636870 | Digitrace Care Services Inc | Durable Medical Equipment & Medical Supplies | 130 S State Rd Ste 202, Springfield, PA 19064-1232 | 2006-08-12 |
| 1720099179 | Digitrace Care Services Inc | Clinic/Center | 10 Dorrance St, Suite 735 7th Floor, Providence, RI 02903-2018 | 2006-08-11 |
| 1992715890 | Digitrace Care Services Inc | Clinic/Center | 1060 Kings Hwy N Ste 309, Cherry Hill, NJ 08034 | 2006-08-09 |
| 1306855291 | Digitrace Care Services Inc | Durable Medical Equipment & Medical Supplies | 1 Higgins St, Augusta, ME 04330-6312 | 2006-08-07 |
| 1134150683 | Digitrace Care Services Inc | Durable Medical Equipment & Medical Supplies | 400 Us Route 1, Suite A, Falmouth, ME 04105-1319 | 2006-07-05 |
| 1306119797 | Digitrace Care Services Inc | Clinic/Center | 2052 Jefferson Davis Hwy, Suite 109, Stafford, VA 22554-7286 | 2012-02-15 |
| 1295005858 | Digitrace Care Services Inc | Clinic/Center | 760 W Sproul Rd, 102b, Springfield, PA 19064-4001 | 2012-01-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | DIGITRACE CARE SERVICES INC. | 1950 Lake Park Dr Se Bldg 1900, Smyrna, Georgia 30080-7648 |
| Street Address |
900 SANDERS RD |
| City | CUMMING |
| State | GA |
| Zip Code | 30041-5960 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013990431 | Otto Goyco | Internal Medicine | 900 Sanders Rd, Suite B, Cumming, GA 30041-5960 | 2005-11-21 |
| 1669745238 | Jocelyn Lorange-herron Sebestyen | Physician Assistant | 900 Sanders Rd, Ste B, Cumming, GA 30041-5960 | 2012-02-13 |
| 1043404767 | Sleepmed Therapies, Inc | Durable Medical Equipment & Medical Supplies | 900 Sanders Rd, Cumming, GA 30041-5960 | 2007-09-06 |
| 1053505776 | Sleepmed, Inc | Clinic/Center | 900 Sanders Rd, Cumming, GA 30041-5960 | 2007-09-06 |
| 1598782534 | Otto C Goyco Md Internal Medicine LLC | Internal Medicine | 900 Sanders Rd, Suite B, Cumming, GA 30041-5960 | 2006-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962036905 | Annie Kyungjin Han | Nurse Practitioner | 1505 Northside Forsyth Drive, Suite 2500, Cumming, GA 30041 | 2020-02-28 |
| 1295388197 | Pamela Edler | Pharmacist | 1200 Northside Forsyth Drive, Pharmacy Department, Cumming, GA 30041 | 2019-07-19 |
| 1720557127 | Dr. Tiffany Lamonde LLC | Physical Therapist | 1445 Haw Creek Circle, Suite 503, Cumming, GA 30041 | 2018-11-15 |
| 1487140893 | Bhbd LLC | Chiropractor | 425 Peachtree Parkway, Suite 315, Cumming, GA 30041 | 2018-07-09 |
| 1891219861 | Anna Gawrys | Pharmacist | 1525 Marketplace Blvd, Cumming, GA 30041 | 2017-08-01 |
| 1679029219 | Square One Dental LLC | Clinic/Center | 3510 Rowe Lane, Cumming, GA 30041 | 2016-09-01 |
| 1720441454 | Pavilion Psychological Services LLC | Psychologist | 1445 Haw Creek Corners Circle East, Suite 501, Cumming, GA 30041 | 2016-03-31 |
| 1346606506 | American Health Imaging of Ga, LLC | Clinic/Center | 1050 Haw Creek Pkwy, Suite 100, Cumming, GA 30041 | 2016-01-04 |
| 1013311307 | Stephen Hartle | Physician Assistant | 2576 Peachtree Pkwy, Suite 100, Cumming, GA 30041 | 2014-10-15 |
| 1063828408 | Stephanie Evans Wellborn | Physician Assistant | 1800 Northside Forsyth Dr Ste 450, Cumming, GA 30041 | 2014-07-07 |
| Find all providers in zip 30041 | ||||
| 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 |
|---|---|---|---|---|
| 1497393508 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 5310 Matt Hwy, Cumming, GA 30028 | 2019-12-19 |
| 1699272765 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 5550 Bethelview Rd, Cumming, GA 30040 | 2018-04-06 |
| 1568984912 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 3655 Browns Bridge Rd, Cumming, GA 30028 | 2017-07-07 |
| 1548700024 | First Source Catheter, Inc. | Durable Medical Equipment & Medical Supplies | 1690 Redi Rd, Suite 400, Cumming, GA 30040-9704 | 2017-03-02 |
| 1104240886 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 2395 Peachtree Pkwy, Cumming, GA 30041-7227 | 2014-02-14 |
| 1598019002 | Southern Medical Specialists, LLC | Durable Medical Equipment & Medical Supplies | 2535 Bent Creek Way, Cumming, GA 30041-6342 | 2012-11-06 |
| 1346537230 | Custom Compression Consultants, LLC | Durable Medical Equipment & Medical Supplies | 4925 Ashbrooke Ct, Cumming, GA 30040-9092 | 2011-06-30 |
| 1255568630 | North Georgia Medical Solutions Corp. | Durable Medical Equipment & Medical Supplies | 6325 Hawkins Drive, Cumming, GA 30028-7544 | 2009-06-12 |
| 1235365396 | Ageless Design Inc. | Durable Medical Equipment & Medical Supplies | 3197 Trout Place Rd, Cumming, GA 30041-8260 | 2009-06-03 |
| 1457505760 | Georgia Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 4895 Post Rd., Cumming, GA 30040 | 2008-11-13 |
| Find all providers in CUMMING | ||||
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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.