TRI-STATE HOME MEDICAL (NPI# 1225133093) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225133093 |
| Entity Type | Organization |
| Organization Name | TRI-STATE HOME MEDICAL |
| Practice Address |
801 N Wiley Ave Donalsonville GA 39845 |
| Mailing Address |
Po Box 157 801 N. Wiley Avenue Donalsonville GA 39845-0157 |
| Practice Telephone | 2295248911 |
| Practice Fax Number | 2295242300 |
| Mailing Telephone | 2295248911 |
| Mailing Fax Number | 2295242300 |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2011-12-13 |
| Authorized Official Name | MR. JACK H MILLS SR. (OWNER VICE PRESIDENT) |
| Authorized Official Telephone | 2295248911 |
| Authorized Official Credential | RPH9642 REGISTER |
| 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 |
|---|---|---|---|
| GA | 000922237AB | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | TRI-STATE HOME MEDICAL LLC | 50 Pershing St, Cumberland, MD 21502-3013 |
| Street Address |
801 N WILEY AVE |
| City | DONALSONVILLE |
| State | GA |
| Zip Code | 39845 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255600698 | Donalsonville Tri-state Home Medical LLC | Durable Medical Equipment & Medical Supplies | 801 N Wiley Ave, Donalsonville, GA 39845-1121 | 2011-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427662634 | V E Health Services LLC | In Home Supportive Care | 3164 Town and Country Road, Donalsonville, GA 39845 | 2020-09-04 |
| 1225670995 | Allcare Pharmacy, LLC | Pharmacy | 1004 S Tennille Ave, Donalsonville, GA 39845 | 2019-10-14 |
| 1528377595 | Billy C. Williams | Pharmacist | 409 West 3rd St, Donalsonville, GA 39845 | 2010-09-24 |
| 1881867000 | Southwest Georgia Healthcare Clinics Inc | Pediatrics | 205 Bresee Street, Donalsonville, GA 39845 | 2008-04-09 |
| 1790851335 | Sherry R Hawkins | Dentist | 1005 South Tennille Ave, Donalsonville, GA 39845 | 2006-11-27 |
| 1124104096 | Jamaca Rashad Coachman | Physical Therapist | 2955 Paleface Drive, Donalsonville, GA 39845 | 2006-10-31 |
| 1154424596 | Richard Mark Wolff | Pediatrics | 205 Bresee St, Donalsonville, GA 39845 | 2006-09-07 |
| 1578527123 | Vincent Kelley | Nurse Anesthetist, Certified Registered | 102 Hospital Circle, Donalsonville, GA 39845 | 2006-04-12 |
| 1245299387 | Murdoc Michael Henderson | Obstetrics & Gynecology | 900 N Wiley Ave, Donalsonville, GA 39845 | 2006-03-18 |
| 1891331492 | Gregory Alan Drake | Pharmacist | 1004 S Tennille Ave, Donalsonville, GA 39845 | 2019-11-19 |
| Find all providers in zip 39845 | ||||
| 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 |
|---|---|---|---|---|
| 1568866770 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 907 Marianna Hwy, Donalsonville, GA 39845-1917 | 2014-10-17 |
| 1578608089 | Donalsonville Pharmacy | Durable Medical Equipment & Medical Supplies | 800 N Wiley Ave, Donalsonville, GA 39845-1120 | 2007-02-21 |
| 1073622502 | Rite Aid of Georgia Inc | Durable Medical Equipment & Medical Supplies | 100 West Third Street, Donalsonville, GA 39845-1506 | 2006-08-29 |
| 1356864144 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 100 W 3rd St, Donalsonville, GA 39845-1506 | 2017-07-24 |
| 1255600698 | Donalsonville Tri-state Home Medical LLC | Durable Medical Equipment & Medical Supplies | 801 N Wiley Ave, Donalsonville, GA 39845-1121 | 2011-12-14 |
| 1982733267 | Scott and Mary Hartzog, LLC | Durable Medical Equipment & Medical Supplies | 111 E 2nd St, Donalsonville, GA 39845-1601 | 2007-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073114427 | Publix Super Markets, Inc | Durable Medical Equipment & Medical Supplies | 3479 Highway 81 East, Mcdonough, GA 30252 | 2020-11-03 |
| 1952901027 | Get - Well Medical Supply | Durable Medical Equipment & Medical Supplies | 5604 Wendy Bagwell Pkwy Ste 322, Hiram, GA 30141-7814 | 2020-10-28 |
| 1407455462 | Extending A Hand Home Care | Durable Medical Equipment & Medical Supplies | 207 Mill Ln, Tennille, GA 31089-4308 | 2020-10-21 |
| 1609475565 | Tonika Tchampo | Durable Medical Equipment & Medical Supplies | 8050 Taylor Rd Apt 1101, Riverdale, GA 30274-4392 | 2020-10-21 |
| 1629685649 | Rec Leasing LLC | Durable Medical Equipment & Medical Supplies | 6842 Roy Rd, Ellijay, GA 30536-6468 | 2020-09-24 |
| 1659986776 | Carmichael Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 2950 Cherokee St Nw Ste 620, Kennesaw, GA 30144-6505 | 2020-09-15 |
| 1699380030 | Capstone Hme Inc | Durable Medical Equipment & Medical Supplies | 1129 Mente Dr, Savannah, GA 31415-3104 | 2020-09-12 |
| 1740895580 | Home Delivery Incontinent Supplies Co Inc | Durable Medical Equipment & Medical Supplies | 801 Broad St Ste 602, Augusta, GA 30901-1227 | 2020-09-09 |
| 1821602202 | Mcgarity Medical Solutions, LLC | Durable Medical Equipment & Medical Supplies | 3081 Stone Mountain St Ste A, Lithonia, GA 30058-4426 | 2020-09-03 |
| 1265044150 | Getwell Medical Supplies Inc | Durable Medical Equipment & Medical Supplies | 310 Glynn St N Ste B401, Fayetteville, GA 30214-1105 | 2020-08-20 |
| Find all providers with the same taxonomy | ||||
| City | DONALSONVILLE |
| Zip Code | 39845 |
Please comment or provide details below to improve the information on TRI-STATE HOME MEDICAL.
| 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.