WILMINGTON MEDICAL SUPPLY, INC. (NPI# 1871956409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871956409 |
| Entity Type | Organization |
| Organization Name | WILMINGTON MEDICAL SUPPLY, INC. |
| Other Organization Name | ADVANCED MEDICAL GROUP |
| Practice Address |
3805 Crestwood Pkwy Nw Ste 100 Duluth GA 30096-7106 |
| Mailing Address |
8516 Nw Expressway Oklahoma City OK 73162-6010 |
| Practice Telephone | 6789857246 |
| Practice Fax Number | 8887180633 |
| Mailing Telephone | 8776882729 |
| Mailing Fax Number | 8887180633 |
| Enumeration Date | 2016-03-31 |
| Last Update Date | 2020-06-01 |
| Authorized Official Name | MR. JEFFERY B HENDRIX (CFO) |
| Authorized Official Telephone | 4054432985 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Other Name | Type Code |
|---|---|
| Advanced Medical Group | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356695662 | Wilmington Medical Supply, Inc. | Durable Medical Equipment & Medical Supplies | 126 S Alice St, Suite 4, Dothan, AL 36301-1651 | 2012-11-08 |
| 1134416845 | Wilmington Medical Supply, Inc. | Durable Medical Equipment & Medical Supplies | 100 Main St, Suite 102, Whitinsville, MA 01588-2246 | 2011-07-01 |
| Street Address |
3805 CRESTWOOD PKWY NW STE 100 |
| City | DULUTH |
| State | GA |
| Zip Code | 30096-7106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922615897 | Georgia Eye Optical, LLC | Ophthalmology | 3800 Pleasant Hill Rd Ste 3, Duluth, GA 30096 | 2020-09-25 |
| 1568090868 | Positive Behavior Services, Inc | Behavior Technician | 3765 Crestwood Pkwy Nw, Duluth, GA 30096 | 2020-03-31 |
| 1861031940 | Elizabeth Ashley Edouard | Counselor | 3464 Duluth Hwy 120, Duluth, GA 30096 | 2020-01-06 |
| 1245701044 | Kathryn Irene Vaughn | Social Worker | 3968 Mainsail Court, Duluth, GA 30096 | 2018-12-06 |
| 1083184626 | Aica Orthopedics, P.C. | Orthopaedic Surgery | 3775 Venture Drive Bldg F, Duluth, GA 30096 | 2018-11-27 |
| 1245709799 | Positive Impact Health Centers, Inc. | Pharmacy | 3350 Breckinridge Blvd, Suite 200a, Duluth, GA 30096 | 2018-11-14 |
| 1235611724 | Katherine Winstead Knott | Counselor | 3460 Summit Ridge Parkway, Suite 503, Duluth, GA 30096 | 2018-08-31 |
| 1710467857 | Envision Optics LLC | Optometrist | 1943 Pleasant Hill Rd, Duluth, GA 30096 | 2018-08-17 |
| 1104314202 | Erin Mckernan Scupham | Chiropractor | 3820 Pleasant Hill Rd. Ne, Suite 4, Duluth, GA 30096 | 2018-04-25 |
| 1053839456 | Rogers Bridge Pediatric Therapy, LLC | Clinic/Center | 2845 Summercrest Ln, Duluth, GA 30096 | 2017-09-06 |
| Find all providers in zip 30096 | ||||
| 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 |
|---|---|---|---|---|
| 1205475936 | Divine Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 3502 Satellite Blvd Ste 6, Duluth, GA 30096-5820 | 2019-12-28 |
| 1285296533 | Sunae Hyun Lee | Durable Medical Equipment & Medical Supplies | 2550 Pleasant Hill Rd Ste 106, Duluth, GA 30096-4153 | 2019-07-07 |
| 1851852651 | Rh Allergy Acquisition, LLC. | Durable Medical Equipment & Medical Supplies | 3575 Koger Blvd Ste 240, Duluth, GA 30096-4958 | 2019-03-26 |
| 1073000782 | Remedi Medical Solutions | Durable Medical Equipment & Medical Supplies | 3675 Crestwood Pkwy Nw Ste 500, Duluth, GA 30096-5054 | 2018-04-18 |
| 1952715096 | Grand St Paul Cvs LLC | Durable Medical Equipment & Medical Supplies | 1215 E Superior St, Duluth, MN 55802-2218 | 2014-06-17 |
| 1225380454 | Unique Beauty & Hair Supply LLC | Durable Medical Equipment & Medical Supplies | 115 N 3rd Ave W, Duluth, MN 55802-1600 | 2012-10-11 |
| 1093060725 | Grand St Paul Cvs LLC | Durable Medical Equipment & Medical Supplies | 4528 Grand Ave, Duluth, MN 55807-2740 | 2012-07-18 |
| 1336441088 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1609 Kenwood Ave, Duluth, MN 55811-2221 | 2010-12-01 |
| 1689906729 | Darlene's Hair Stylists | Durable Medical Equipment & Medical Supplies | 1920 W Superior St, Duluth, MN 55806-2141 | 2010-01-30 |
| 1164653770 | Jay Litman Construction, Remodeling, & Handyman Services, Inc. | Durable Medical Equipment & Medical Supplies | 5224 Washburn Rd, Duluth, MN 55803-9788 | 2009-07-30 |
| Find all providers in DULUTH | ||||
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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.