PREMIER MEDICAL SUPPLY
NPI 1851831507
Durable Medical Equipment & Medical Supplies in Fayetteville, GA

NPI Status: Active since February 28, 2017

Contact Information

1240 HIGHWAY 54 W
SUITE 504
FAYETTEVILLE, GA
ZIP 30214
Phone: (770) 731-1935
Fax: (678) 840-9446

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About PREMIER MEDICAL SUPPLY

This page provides the complete NPI Profile along with additional information for Premier Medical Supply, a provider established in Fayetteville, Georgia operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1851831507 assigned on February 2017. The practitioner's primary taxonomy code is 332B00000X. The provider is registered as an organization and their NPI record was last updated 9 years ago. The authorized official of this NPI record is Jalen Uboh (Ceo)

NPI
1851831507
Provider Name
PREMIER MEDICAL SUPPLY
Entity Type
Organization
Location Address
1240 HIGHWAY 54 W SUITE 504 FAYETTEVILLE, GA 30214
Location Phone
(770) 731-1935
Location Fax
(678) 840-9446
Mailing Address
1240 HIGHWAY 54 W SUITE 504 FAYETTEVILLE, GA 30214
Mailing Phone
(770) 731-1935
Mailing Fax
(678) 840-9446
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-28-2017
Last Update Date
02-28-2017
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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 State
GA
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.

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

JALEN UBOH

Authorized Official Title
CEO
Authorized Official Phone
(770) 731-1935

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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.
1851831507
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
28101163250
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 1 + 0 + 1 + 1 + 6 + 3 + 2 + 5 + 0 + 24 = 53
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 53 = 77

The NPI number 1851831507 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 13 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1265703003HEARING AID SERVICES OF ATLANTA, LLC
Organization
Hearing Instrument Specialist1240 HIGHWAY 54 W STE. 604
FAYETTEVILLE, GA 30214
(770) 461-7002
1942560875HEARING AID SERVICES OF ATLANTA LLC
Organization
Clinic/Center (Hearing and Speech)1240 HIGHWAY 54 W
FAYETTEVILLE, GA 30214
(770) 461-7002
1891040622HOME MEDICAL PROFESSIONALS
Organization
Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)1240 HIGHWAY 54 W SUITE 303
FAYETTEVILLE, GA 30214
(678) 817-5555
1356773436MEDALERT,LLC
Organization
Clinical Medical Laboratory1240 HIGHWAY 54 W SUITE 102
FAYETTEVILLE, GA 30214
(770) 892-1821
1548697196SOUTH ATLANTA EAR NOSE & THROAT, PC
Organization
Specialist1240 HIGHWAY 54 W BLDG 700, STE 710
FAYETTEVILLE, GA 30214
(678) 534-3309
1326483405 CRYSTAL WADE LDO
Individual
Technician/Technologist (Optician)1240 HIGHWAY 54 W 306
FAYETTEVILLE, GA 30214
(678) 304-7129
1245529262CB & NIKKY INC
Organization
Pharmacy (Community/Retail Pharmacy)1240 HIGHWAY 54 W BLDG 100,STE101
FAYETTEVILLE, GA 30214
(770) 719-9050
1588097612 FANG HELEN YU NURSE PRACTITIONER
Individual
Nurse Practitioner1240 HIGHWAY 54 W BUILDING 300, SUITE 310
FAYETTEVILLE, GA 30214
(770) 461-6400
1386917995MRS. LISA JAN MERRITT NP
Individual
Family Medicine1240 HIGHWAY 54 W BUILDING 700, SUITE 700
FAYETTEVILLE, GA 30214
(404) 452-9931
1760848980SOUTH ATLANTA INTEGRATIVE MEDICINE
Organization
Family Medicine1240 HIGHWAY 54 W BUILDING 700, SUITE 700
FAYETTEVILLE, GA 30214
(404) 452-9931
1467675900AMEDISYS GEORGIA LLC
Organization
Home Health1240 HIGHWAY 54 W SUITE 601 BLDG. 600
FAYETTEVILLE, GA 30214
(770) 719-9155
1790846210MRS. GINA GONZALEZ JOHNSON D.O.
Individual
Family Medicine1240 HIGHWAY 54 W BUILDING 700, SUITE 700
FAYETTEVILLE, GA 30214
(404) 452-9931
1912944828 HOWARD J SILK MD
Individual
Allergy & Immunology1240 HIGHWAY 54 W BUILDING 300 SUITE 310
FAYETTEVILLE, GA 30214
(770) 953-3331

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1851831507, enumerated in the NPI registry as an "organization" on February 28, 2017

The provider is located at 1240 Highway 54 W Suite 504 Fayetteville, Ga 30214 and the phone number is (770) 731-1935

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

This NPI record was last updated on February 28, 2017. 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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