SOUTHEASTERN MEDICAL BROKERS, INC. (NPI# 1801979596) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801979596 |
| Entity Type | Organization |
| Organization Name | SOUTHEASTERN MEDICAL BROKERS, INC. |
| Other Organization Name | INTEGRITY MEDICAL |
| Practice Address |
1022 Walton Way Augusta GA 30901-2843 |
| Practice Telephone | 7068558988 |
| Practice Fax Number | 7068558902 |
| Mailing Telephone | 7068558988 |
| Mailing Fax Number | 7068558902 |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2015-08-20 |
| Authorized Official Name | BRIAN BYLER (VICE-PRESIDENT) |
| Authorized Official Telephone | 7068558988 |
| Authorized Official Credential | ATP, RTS |
| 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 | 703994050B | 05 | |
| GA | BCBS | 52036372001 | 01 |
| SC | DE2463 | 05 |
| Other Name | Type Code |
|---|---|
| Integrity Medical | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851661797 | Southeastern Medical Brokers, Inc. | Durable Medical Equipment & Medical Supplies | 1739 Tullie Cir Ne, Atlanta, GA 30329-2305 | 2012-01-10 |
| 1194808881 | Southeastern Medical Brokers, Inc. | Durable Medical Equipment & Medical Supplies | 1001 Walton Way, Augusta, GA 30901-2841 | 2006-10-24 |
| 1316369689 | Southeastern Medical Brokers, Inc. | Durable Medical Equipment & Medical Supplies | 2101 Main St, Columbia, SC 29201-2159 | 2014-01-06 |
| Street Address |
1022 WALTON WAY |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30901-2843 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821631979 | Amanda Blakney Bellmore | Pharmacist | 1022 Walton Way, Augusta, GA 30901-2861 | 2019-10-22 |
| 1104378009 | National Seating & Mobility, Inc. | Durable Medical Equipment & Medical Supplies | 1022 Walton Way, Suite D, Augusta, GA 30901-2861 | 2016-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477019925 | Courtney Erin Fairchild | Physician Assistant | 1101 15th Street, Pa-224, Augusta, GA 30901 | 2019-02-20 |
| 1699263921 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1022 Walton Way Spc C, Augusta, GA 30901 | 2018-04-23 |
| 1235684192 | Heather Raborn | Allergy & Immunology | 1350 Walton Way Ste 5100, Augusta, GA 30901 | 2016-08-22 |
| 1457690745 | Rehab Without Walls, Inc. | In Home Supportive Care | 820 St Sebastin Way Se, Augusta, GA 30901 | 2013-02-06 |
| 1861788051 | Christina Weidner Belcher | Physical Therapist | 1246 Pine St, Augusta, GA 30901 | 2011-06-25 |
| 1750695979 | C H Martin Company | Durable Medical Equipment & Medical Supplies | 1456 Walton Way Suite B, Augusta, GA 30901 | 2010-07-29 |
| 1366773905 | Csb of East Central Ga | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4027 Wheeler Rd, Augusta, GA 30901 | 2010-01-21 |
| 1851622484 | Csb of East Central Ga | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1715 Forest Drive, Augusta, GA 30901 | 2010-01-21 |
| 1760615280 | Absolute Family PCh | Point of Service | 2035 Old Savannah Rd., Augusta, GA 30901 | 2009-09-01 |
| 1073740643 | Ryan J Altenburg | Internal Medicine | 820 Saint Sebastian Way Ste 8a, Augusta, GA 30901 | 2009-06-22 |
| Find all providers in zip 30901 | ||||
| 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 |
|---|---|---|---|---|
| 1740895580 | Home Delivery Incontinent Supplies Co Inc | Durable Medical Equipment & Medical Supplies | 801 Broad St Ste 602, Augusta, GA 30901-1227 | 2020-09-09 |
| 1659939486 | Extraordinary Homecare LLC | Durable Medical Equipment & Medical Supplies | 410 Brookside Ct, Augusta, GA 30904-3504 | 2019-06-05 |
| 1902369267 | One Source Medical Group, LLC | Durable Medical Equipment & Medical Supplies | 3070 Damascus Rd Ste A, Augusta, GA 30909-4065 | 2019-04-12 |
| 1255897419 | Pediatric Mobility Innovations | Durable Medical Equipment & Medical Supplies | 3114 Augusta Tech Drive Suite 404, Augusta, GA 30906 | 2019-02-13 |
| 1699263921 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1022 Walton Way Spc C, Augusta, GA 30901 | 2018-04-23 |
| 1922559350 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 5303-a Wrightsboro Rd, Augusta, GA 30813-0000 | 2016-10-20 |
| 1841649639 | Kennebec Pharmacy and Home Care LLC | Durable Medical Equipment & Medical Supplies | 11 Medical Center Pkwy Ste A, Augusta, ME 04330-8158 | 2016-06-13 |
| 1730583659 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 300 S Belair Rd, Augusta, GA 30907-9337 | 2014-10-21 |
| 1699179317 | Orbs Ltd | Durable Medical Equipment & Medical Supplies | 2004 Westside Dr, Augusta, GA 30907-9211 | 2014-10-09 |
| 1942616107 | Duramed Medical Services, Inc | Durable Medical Equipment & Medical Supplies | 1543 15th St, Augusta, GA 30901-3459 | 2014-07-09 |
| Find all providers in AUGUSTA | ||||
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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.