SOUTHEAST MEDICAL, INC. (NPI# 1427081934) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427081934 |
| Entity Type | Organization |
| Organization Name | SOUTHEAST MEDICAL, INC. |
| Practice Address |
75 N Main St Suite 229 Clayton GA 30525 |
| Mailing Address |
Po Box 674553 Detroit MI 48267-4553 |
| Practice Telephone | 6787078807 |
| Practice Fax Number | 7722124904 |
| Mailing Telephone | 6787078807 |
| Mailing Fax Number | 7722124904 |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2019-05-01 |
| Authorized Official Name | MR. GARY R BANG JR. (PRESIDENT & DIRECTOR) |
| Authorized Official Telephone | 7722084067 |
| Is Organization Subpart | Y |
| Parent Organization Name | ABC HOME MEDICAL SUPPLY, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 893856568A | 05 | |
| TN | 1519605 | 05 | |
| SC | DE2802 | 05 | |
| NC | 7705428 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972962132 | Southeast Medical, Inc. | Durable Medical Equipment & Medical Supplies | 314 S Cedar Ave, South Pittsburg, TN 37380-1306 | 2016-02-16 |
| 1508394339 | Southeast Medical, Inc. | Durable Medical Equipment & Medical Supplies | 2117 University Blvd, Tuscaloosa, AL 35401 | 2017-05-24 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | SOUTHEAST MEDICAL, INC. | 3300 S.w. 46th Ave., Ft. Lauderdale, FL 33314 |
| Street Address |
75 N MAIN ST SUITE 229 |
| City | CLAYTON |
| State | GA |
| Zip Code | 30525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740406156 | Amedisys Georgia LLC | Home Health | 75 N Main St, Ste 105, Clayton, GA 30525-4264 | 2007-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528605839 | Charlotte Hart Fandrich | Massage Therapist | 1048 Old Highway 441 North, Clayton, GA 30525 | 2019-12-05 |
| 1922577147 | Suzanne A Frederickson | Speech-Language Pathologist | Highlands Internal Medicine, PC, 156 North Main St, Clayton, GA 30525 | 2018-11-16 |
| 1427562750 | Second Nature Blue Ridge, LLC | Psychiatric Residential Treatment Facility | 236 File St., Clayton, GA 30525 | 2017-11-22 |
| 1053854752 | Haley Vaughan Stapleton | Nurse Practitioner | 596 Mountain City Road, Clayton, GA 30525 | 2016-11-29 |
| 1154870533 | Life Point Medical, LLC | Clinic/Center | 189 Bo James Street, Suite 105, Clayton, GA 30525 | 2016-09-27 |
| 1316239122 | Jason A Bonner | Pharmacist | 1455 U.S. 441, Clayton, GA 30525 | 2011-05-11 |
| 1477842557 | Clayton Therapy Center, LLC | Marriage & Family Therapist | 24 Chechero St, Suite 2, Clayton, GA 30525 | 2011-03-29 |
| 1891959672 | Adams Hearing Aid Specialists | Hearing Instrument Specialist | 91 E Savannah Place, Clayton, GA 30525 | 2008-07-11 |
| 1578721494 | Lawrence M Gillespie | Dentist | 436 Warwoman Road, Clayton, GA 30525 | 2008-05-28 |
| 1336262112 | Clayton Family Eye Care PC | Optometrist | 50 Earl St., Suite A, Clayton, GA 30525 | 2007-04-09 |
| Find all providers in zip 30525 | ||||
| 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 |
|---|---|---|---|---|
| 1538779590 | Publix North Carolina, Lp | Durable Medical Equipment & Medical Supplies | 24 Publix Drive, Clayton, NC 27527 | 2020-08-05 |
| 1356763312 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 8101 Clayton Rd, Clayton, MO 63117-1103 | 2014-01-10 |
| 1760768832 | American Vets Mobility & Equipment Corp. | Durable Medical Equipment & Medical Supplies | 180 Millstone Dr, Clayton, NC 27527 | 2011-11-02 |
| 1144454273 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 355 Highway 441 S, Clayton, GA 30525-5454 | 2009-05-04 |
| 1114191350 | The Autism Shoppe | Durable Medical Equipment & Medical Supplies | 506 Hopewell Dr, Clayton, DE 19938-2228 | 2008-04-18 |
| 1710186168 | Toccoa Clinic Medical Associates | Durable Medical Equipment & Medical Supplies | 269 Ridgecrest Cir, Clayton, GA 30525-4109 | 2007-07-16 |
| 1649332180 | Clayton Dental Offices, Pllc | Durable Medical Equipment & Medical Supplies | 775 Graves St, Clayton, NY 13624-1503 | 2006-12-14 |
| 1801983762 | Advanced Medical Supplies Of | Durable Medical Equipment & Medical Supplies | 1101 Neuse Ridge Dr, Clayton, NC 27527-5333 | 2006-10-10 |
| 1134212509 | Food Lion LLC | Durable Medical Equipment & Medical Supplies | 50 Neuse River Pkwy, Clayton, NC 27527-5275 | 2006-09-30 |
| 1790884914 | Edc Drug Stores Inc | Durable Medical Equipment & Medical Supplies | 11360 Us Highway 70 West, Clayton, NC 27520-2206 | 2006-09-22 |
| Find all providers in CLAYTON | ||||
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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.