PREMIUM MEDICAL SUPPLY LLC


Address: 3011 Rainbow Dr Ste 303, Decatur, GA 30034-1681
Phone: 4044484577

PREMIUM MEDICAL SUPPLY LLC (NPI# 1164915427) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1164915427
Entity Type Organization
Organization Name PREMIUM MEDICAL SUPPLY LLC
Practice Address 3011 Rainbow Dr Ste 303
Decatur
GA 30034-1681
Practice Telephone 4044484577
Enumeration Date 2018-06-12
Last Update Date 2018-12-05
Authorized Official Name KEYANNA WILLIS (PRESIDENT)
Authorized Official Telephone 4044484577
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 332B00000X Durable Medical Equipment & Medical Supplies Suppliers

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1497222558 Premium Medical Supply LLC Durable Medical Equipment & Medical Supplies 1565 Ebenezer Rd, Ste 106, Rock Hill, SC 29732 2018-10-26
1326390881 Premium Medical Supply LLC Durable Medical Equipment & Medical Supplies 26 6th Ave N, Suite 370, Saint Cloud, MN 56303-4558 2012-10-09

Office Location

Street Address 3011 RAINBOW DR STE 303
City DECATUR
State GA
Zip Code 30034-1681

Providers in the same location

NPI Name Taxonomy Address Enumeration
1184278087 Holistic Angels Home Care Services Home Health 3011 Rainbow Dr Ste 303, Decatur, GA 30034-1867 2019-07-29

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1437775764 The Maines Group, LLC Adult Companion The Maines Group, LLC Dba Maines Health and Wellness, 3461 Jessica Run, Decatur, GA 30034 2020-06-23
1801351994 Anthony E. Parrish, D.d.s., PC Dentist 3653 Flakes Mill Road, Suite E, Deactur, GA 30034 2019-02-04
1164916813 Lenina O Chi-ukpai Nurse Practitioner 2942 Secretariat Ct, Decatur, GA 30034 2018-06-17
1154662765 Zackery Kanel Thomas Driver 2782 Green Marsh Court, Decatur, GA 30034 2013-03-06
1033472642 Lakeba Hibbler Williams Counselor 4147 Flat Shoals Pkwy, Decatur, GA 30034 2012-06-19
1164789632 Foot Solutions of Georgia Durable Medical Equipment & Medical Supplies 3011 S Rainbow Dr, Suite 160, Decatur, GA 30034 2012-04-20
1699096172 Wanda P Garrett Social Worker 3013 Rainbow Drive, Suite 112-e, South Dekalb Office Park, Decatur, GA 30034 2010-06-18
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Taxonomy Information

Taxonomy Code 332B00000X
Grouping Suppliers
Classification Durable Medical Equipment & Medical Supplies

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1720547532 Unique Visions LLC Durable Medical Equipment & Medical Supplies 2948 Laguna Dr, Decatur, GA 30032-3526 2019-03-19
1396241535 Gre Days Corp Durable Medical Equipment & Medical Supplies 3013 Rainbow Dr Ste 124, Decatur, GA 30034-1644 2018-04-05
1144733072 Legacy Compounding Inc Durable Medical Equipment & Medical Supplies 2422 Danville Rd Sw Ste H, Decatur, AL 35603-4221 2017-11-14
1063924397 Publix Alabama LLC Durable Medical Equipment & Medical Supplies 2934 Point Mallard Pkwy Se, Decatur, AL 35603-5700 2017-10-26
1689186199 Georgia Pain and Wellness Center Durable Medical Equipment & Medical Supplies 484 Irvin Ct Ste 110, Decatur, GA 30030-5406 2017-10-25
1558887497 Decatur Medical Supplies Durable Medical Equipment & Medical Supplies 2107 N Decatur Rd Unit 832, Decatur, GA 30033-5305 2017-08-22
1972027456 Walgreen Co Durable Medical Equipment & Medical Supplies 4855 Flat Shoals Pkwy, Decatur, GA 30034-5208 2017-07-27
1508304411 Comfort Medical Supplies Durable Medical Equipment & Medical Supplies 5055 Miller Woods Dr, Decatur, GA 30035-3751 2017-02-10
1225493851 Pain Rehab Equipment Durable Medical Equipment & Medical Supplies 220 Ponce De Leon Pl, 172, Decatur, GA 30030-3233 2015-12-26
1912375809 Wal-mart Stores East Lp Durable Medical Equipment & Medical Supplies 2525 N Decatur Rd, Decatur, GA 30033-6126 2015-09-09
Find all providers in DECATUR

Competitor

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City DECATUR
Zip Code 30034

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Dataset Information

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.

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