SAFEWAY MEDICAL LLC (NPI# 1063936623) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063936623 |
| Entity Type | Organization |
| Organization Name | SAFEWAY MEDICAL LLC |
| Practice Address |
2330 Scenic Hwy S Ste 303 Snellville GA 30078-3115 |
| Practice Telephone | (770) 674-2875 |
| Practice Fax Number | 7706742876 |
| Mailing Telephone | 7706742875 |
| Mailing Fax Number | 7706742876 |
| Enumeration Date | 2017-07-26 |
| Last Update Date | 2018-05-18 |
| Authorized Official Name | MOCO WILLIS (OWNER) |
| Authorized Official Telephone | 7706742875 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | GA | Suppliers |
| Street Address |
2330 SCENIC HWY S STE 303 |
| City | SNELLVILLE |
| State | GA |
| Zip Code | 30078-3115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619594561 | Steven Nguyen | Optometrist | 1905 Scenic Hwy S #1130, Snellville, GA 30078 | 2020-06-26 |
| 1891320776 | Youstina Harkas | Optometrist | 1679 Scenic Hwy S 203, Snellville, GA 30078 | 2020-03-11 |
| 1578101127 | Jwwt Neuoromonitoring, LLC | Psychiatry & Neurology | 1350 Scenic Highway, Suite 266, Snelville, GA 30078 | 2019-12-13 |
| 1679119903 | Lashon Poole Wells | Social Worker | 1350 Scenic Highway Ste 266, 1350 Scenic Highway Ste 266, Snellville, GA 30078 | 2019-11-21 |
| 1427601426 | Aemad Heavenly Joy Senior Homecare & Developmental Disabilities LLC | Registered Nurse | 1350 Scenic Highway Suite #266, Sneville, GA 30078 | 2019-07-18 |
| 1063975548 | Joanne Mcdougal Patterson | Nurse Practitioner | 1350 Scenic Hwy N Ste 226, Snellville, GA 30078 | 2019-04-10 |
| 1689144263 | Israel Branford | Physical Therapist | 1575 Scenic Hwy Ste 100, Snellville, GA 30078 | 2018-11-27 |
| 1902382997 | Brittany Dupree | Dermatology | 2383 Pate Street North, Snellville, GA 30078 | 2018-07-13 |
| 1134610926 | Reid Weston Popple | Dentist | 2992 Stone Mountain Hwy, A100, Snellville, GA 30078 | 2018-05-29 |
| 1326550492 | Optimal Healthcare Services LLC | Clinic/Center | 2121 Fountain Dr Ste F, Snellville, GA 30078 | 2017-10-30 |
| Find all providers in zip 30078 | ||||
| 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 |
|---|---|---|---|---|
| 1962975722 | True Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 2330 Scenic Hwy S Ste 220, Snellville, GA 30078-3115 | 2019-01-04 |
| 1780151480 | Embrace of Gwinnett | Durable Medical Equipment & Medical Supplies | 2992 Main St W Ste 104, Snellville, GA 30078-5735 | 2018-10-31 |
| 1922582543 | Purpose Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 2330 Scenic Hwy S Ste 215, Snellville, GA 30078-3115 | 2018-09-19 |
| 1689164014 | Best Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 2140 Mcgee Rd Ste C145, Snellville, GA 30078-2984 | 2018-05-10 |
| 1023507555 | Embrace of Ga Inc | Durable Medical Equipment & Medical Supplies | 2140 Mcgee Rd Ste C680, Snellville, GA 30078-7017 | 2018-05-10 |
| 1346752854 | Georgia Pain and Wellness Center, LLC | Durable Medical Equipment & Medical Supplies | 1780 Oak Rd, Snellville, GA 30078-2202 | 2017-10-25 |
| 1235651969 | Toussaint Corporation | Durable Medical Equipment & Medical Supplies | 2671 Centerville Hwy Ste 150, Snellville, GA 30078-4538 | 2017-07-14 |
| 1467863381 | Mcclendon Assemblies, LLC | Durable Medical Equipment & Medical Supplies | 3530 Revere Cir, Snellville, GA 30039-6042 | 2014-05-13 |
| 1275882680 | Kusler Enterprises, Inc. | Durable Medical Equipment & Medical Supplies | 2083 Parkwood Rd, Snellville, GA 30078-2833 | 2012-08-30 |
| 1003161415 | Home and Bath Safety, LLC | Durable Medical Equipment & Medical Supplies | 1750 Hickory Lake Dr, Snellville, GA 30078-5946 | 2012-07-23 |
| Find all providers in SNELLVILLE | ||||
| City | SNELLVILLE |
| Zip Code | 30078 |
Please comment or provide details below to improve the information on SAFEWAY MEDICAL 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.