DME SUPPLIER
NPI 1730175175
Durable Medical Equipment & Medical Supplies in Greenwood, MS

NPI Status: Active since September 21, 2005

Contact Information

2901 HIGHWAY 82 E
GREENWOOD, MS
ZIP 38930
Phone: (662) 453-6323
Fax: (662) 455-9686

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About DME SUPPLIER

This page provides the complete NPI Profile along with additional information for Dme Supplier, a provider established in Greenwood, Mississippi operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1730175175 assigned on September 2005. The practitioner's primary taxonomy code is 332B00000X with license number 46 (MS). The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's is doing business as Dme Supplier. The authorized official of this NPI record is Tabatha Watkins (Administrator)

NPI
1730175175
Provider Legal Name
GOLDEN AGE INC
Other Organization Name
DME SUPPLIER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2901 HIGHWAY 82 E GREENWOOD, MS 38930
Location Phone
(662) 453-6323
Location Fax
(662) 455-9686
Mailing Address
2901 HWY 82 E GREENWOOD, MS 38930
Mailing Phone
(662) 453-6323
Mailing Fax
(662) 455-9686
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-21-2005
Last Update Date
01-20-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Durable Medical Equipment & Medical Supplies

Taxonomy Code
332B00000X
Type
Suppliers
License No.
46
License State
MS
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

TABATHA WATKINS

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(662) 453-6323

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
0440264MEDICAID (05)MS 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1730175175
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27602710114
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 6 + 0 + 2 + 7 + 1 + 0 + 1 + 1 + 4 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1730175175 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1124257902MRS. BRANDY G SMITH FNP-BC
Individual
Nurse Practitioner (Family)2901 HIGHWAY 82 E
GREENWOOD, MS 38930
(662) 374-2185
1558693671GOLDEN AGE INC
Organization
Clinic/Center (Rural Health)2901 HIGHWAY 82 E
GREENWOOD, MS 38930
(662) 374-2185
1720073448GOLDEN AGE INC
Organization
Nursing Facility/Intermediate Care Facility2901 HIGHWAY 82 E
GREENWOOD, MS 38930
(662) 453-6323
1558670869 JACQUELINE SUSZAN WARE FNP
Individual
Nurse Practitioner (Family)2901 HIGHWAY 82 E
GREENWOOD, MS 38930
(662) 374-2135

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1730175175, enumerated in the NPI registry as an "organization" on September 21, 2005

The provider is located at 2901 Highway 82 E Greenwood, Ms 38930 and the phone number is (662) 453-6323

This medical organization specializes in Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on September 21, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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