PREMIER MEDICAL SUPPLY (NPI# 1851831507) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851831507 |
| Entity Type | Organization |
| Organization Name | PREMIER MEDICAL SUPPLY |
| Practice Address |
1240 Highway 54 W Suite 504 Fayetteville GA 30214-4557 |
| Practice Telephone | 7707311935 |
| Practice Fax Number | 6788409446 |
| Mailing Telephone | 7707311935 |
| Mailing Fax Number | 6788409446 |
| Enumeration Date | 2017-02-28 |
| Last Update Date | 2017-02-28 |
| Authorized Official Name | JALEN UBOH (CEO) |
| Authorized Official Telephone | 7707311935 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | GA | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174862700 | Premier Medical Supply | Durable Medical Equipment & Medical Supplies | 122 Boden Ave, Valley Stream, NY 11580-5145 | 2013-02-01 |
| 1225083298 | Premier Medical Supply | Durable Medical Equipment & Medical Supplies | 203 E King Ave, Kingsville, TX 78363-5575 | 2006-05-24 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PREMIER MEDICAL SUPPLY | 1015 Tyrone Rd Ste 420, Tyrone, GA 30290-2456 |
| Street Address |
1240 HIGHWAY 54 W SUITE 504 |
| City | FAYETTEVILLE |
| State | GA |
| Zip Code | 30214-4557 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912944828 | Howard J Silk | Allergy & Immunology | 1240 Highway 54 W, Building 300 Suite 310, Fayetteville, GA 30214-4557 | 2006-05-31 |
| 1760848980 | South Atlanta Integrative Medicine | Family Medicine | 1240 Highway 54 W, Building 700, Suite 700, Fayetteville, GA 30214-4557 | 2016-01-04 |
| 1548697196 | South Atlanta Ear Nose & Throat, PC | Specialist | 1240 Highway 54 W, Bldg 700, Ste 710, Fayetteville, GA 30214-4557 | 2013-09-27 |
| 1588097612 | Fang Helen Yu | Nurse Practitioner | 1240 Highway 54 W, Building 300, Suite 310, Fayetteville, GA 30214-4557 | 2013-08-13 |
| 1356773436 | Medalert,llc | Clinical Medical Laboratory | 1240 Highway 54 W, Suite 102, Fayetteville, GA 30214-4557 | 2013-07-31 |
| 1326483405 | Crystal Wade | Technician/Technologist | 1240 Highway 54 W, 306, Fayetteville, GA 30214-4557 | 2013-05-02 |
| 1891040622 | Home Medical Professionals | Durable Medical Equipment & Medical Supplies | 1240 Highway 54 W, Suite 303, Fayetteville, GA 30214-4557 | 2012-07-18 |
| 1942560875 | Hearing Aid Services of Atlanta LLC | Clinic/Center | 1240 Highway 54 W, Fayetteville, GA 30214-4557 | 2012-05-25 |
| 1386917995 | Lisa Jan Merritt | Family Medicine | 1240 Highway 54 W, Building 700, Suite 700, Fayetteville, GA 30214-4557 | 2012-02-13 |
| 1265703003 | Hearing Aid Services of Atlanta, LLC | Hearing Instrument Specialist | 1240 Highway 54 W, Ste. 604, Fayetteville, GA 30214-4557 | 2012-01-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548872468 | Phyllis Kelly Wood | Nurse Practitioner | 217 Banks Rd, Suite 31, Fayetteville, GA 30214 | 2020-08-21 |
| 1073139317 | Tyisha Salter Scott | Counselor | 110 Habersham Drive, Suite 142, Fayetteville, GA 30214 | 2020-06-23 |
| 1194341412 | Camille Franncine Bolton | Physical Therapist | 500 Floy Farr Parkway, Suite 303, Fayetteville, GA 30214 | 2020-06-23 |
| 1205465895 | Gillian Vaughan Heard | Physician Assistant | 1275 Ga-54 #201, Fayetteville, GA 30214 | 2020-04-06 |
| 1881234557 | Peach Fits,inc | Mastectomy Fitter | 285 Glynn Street South, Suites 102 and 104, Fayetteville, GA 30214 | 2020-01-10 |
| 1255981072 | Delta Healthcare Providers | Clinic/Center | 1275 W Lanier Ave, #200, Fayetteville, GA 30214 | 2019-09-13 |
| 1861965592 | Hierarchy for Wellness | Specialist | 805 S Glynn St Bldg 127 142, Fayetteville, GA 30214 | 2019-01-04 |
| 1356810634 | Fayette Dental Group PC | Clinic/Center | 720 W Lanier Ave, Fayetteville, GA 30214 | 2018-11-16 |
| 1891263299 | Mattie Mae Farmer Clark | Specialist/Technologist, Other | Piedmont Fayette Hospital, 1255 Highway 54 West, Fayetteville, GA 30214 | 2018-11-05 |
| 1093293607 | Allyson Holland | Pharmacist | 880 Highway 85 South, Fayetteville, GA 30214 | 2018-08-06 |
| Find all providers in zip 30214 | ||||
| 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 |
|---|---|---|---|---|
| 1265044150 | Getwell Medical Supplies Inc | Durable Medical Equipment & Medical Supplies | 310 Glynn St N Ste B401, Fayetteville, GA 30214-1105 | 2020-08-20 |
| 1548886450 | Care Medical Atlanta LLC | Durable Medical Equipment & Medical Supplies | 122 Robinson Ct, Fayetteville, GA 30214-6935 | 2020-06-17 |
| 1073149373 | Delta Medical Group Inc | Durable Medical Equipment & Medical Supplies | 375 E Millsap Rd Ste 1, Fayetteville, AR 72703-6289 | 2020-03-18 |
| 1154961472 | Zion Medical Supply, Inc. | Durable Medical Equipment & Medical Supplies | 1572 Highway 85 N Ste 315, Fayetteville, GA 30214-7727 | 2020-01-14 |
| 1497314249 | Dme By Preventive Health Care Usa LLC | Durable Medical Equipment & Medical Supplies | 1572 Highway 85 N Ste 211, Fayetteville, GA 30214-7726 | 2019-06-06 |
| 1235696543 | Medic Rental Inc | Durable Medical Equipment & Medical Supplies | 3533 N Shiloh Dr Ste 4, Fayetteville, AR 72703-5317 | 2019-02-22 |
| 1720558893 | Broadband Innovation Group | Durable Medical Equipment & Medical Supplies | 2915 Raeford Rd Ste 203, Fayetteville, NC 28303-5491 | 2018-11-30 |
| 1508340464 | American Access and Management Services, LLC | Durable Medical Equipment & Medical Supplies | 1107 Four Wood Dr, Fayetteville, NC 28312-7227 | 2018-09-17 |
| 1629568506 | Kimberly Mcgaughey | Durable Medical Equipment & Medical Supplies | 1430 N Bernice Dr, Fayetteville, AR 72703-6084 | 2018-05-16 |
| 1033614771 | Mercy Home Medical Supply Inc. | Durable Medical Equipment & Medical Supplies | 3801 Sycamore Dairy Rd Ste E, Fayetteville, NC 28303-3420 | 2018-03-26 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 30214 |
Please comment or provide details below to improve the information on PREMIER MEDICAL SUPPLY.
| 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.