PAK MEDICAL, INC.
NPI 1053479956
Durable Medical Equipment & Medical Supplies in Hiram, GA

Active since December 04, 2006
5745 WENDY BAGWELL PKWY STE 32, HIRAM, GA 30141(770) 222-6678(770) 222-6680 Get Directions Write a Review

NPPES record last updated: July 15, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Durable Medical Equipment & Medical Supp...

About PAK MEDICAL, INC.

This page provides the complete NPI Profile along with additional information for Pak Medical, Inc., a provider established in Hiram, Georgia operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1053479956 assigned on December 2006. The practitioner's primary taxonomy code is 332B00000X. The provider is registered as an organization and their NPI record was last updated 16 years ago. The authorized official of this NPI record is Anita Kennerley (Vice President)

NPI
1053479956 Verify this NPI
Provider Name
PAK MEDICAL, INC.
Entity Type
Organization
Location Address
5745 WENDY BAGWELL PKWY STE 32 HIRAM, GA 30141
Location Phone
(770) 222-6678
Location Fax
(770) 222-6680
Mailing Address
PO BOX 1042 HIRAM, GA 30141
Mailing Phone
(770) 222-6678
Mailing Fax
(770) 222-6680
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-04-2006
Last Update Date
07-15-2010
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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
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

ANITA KENNERLEY

Authorized Official Title
VICE PRESIDENT
Authorized Official Phone
(770) 222-6678

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
5803740001MEDICARE NSC (07)GA 

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Technician/Technologist (Optician)
5745 WENDY BAGWELL PKWY STE 32
HIRAM, GA 30141

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053479956, enumerated as an "organization" on December 04, 2006.

The provider is located at 5745 WENDY BAGWELL PKWY STE 32 HIRAM, GA 30141 and the phone number is (770) 222-6678.

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 verify.