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

Q: What is Pak Medical, Inc.'s NPI number?

The NPI number for Pak Medical, Inc. is 1053479956. It was assigned to this organization in the NPPES registry on December 4, 2006.

Q: What is Pak Medical, Inc.'s specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Q: When was this NPI record last updated?

The NPPES record for Pak Medical, Inc. was last updated on July 15, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

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: August 09, 2026.

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About Pak Medical, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PAK MEDICAL, INC. (NPI 1053479956) is a healthcare organization registered as a durable medical equipment & medical supplies in Hiram, Georgia and active in the NPI registry since December 2006. The organization lists Anita Kennerley, Vice President, as its authorized official.

NPPES Registry Identity

NPI1053479956

Entity TypeOrganization

Primary Taxonomy332B00000X

Legal Business NamePAK MEDICAL, INC.

Location Address5745 WENDY BAGWELL PKWY STE 32Hiram, GA 30141-2885

Mailing AddressPo Box 1042Hiram, GA 30141-1042 · (770) 222-6678 · Fax (770) 222-6680

Phone(770) 222-6678

Fax(770) 222-6680

Organization SubpartNo

Authorized OfficialAnita KennerleyVice President · (770) 222-6678

Enumeration DateDecember 4, 2006

Last NPPES UpdateJuly 15, 2010

✔ NPI 1053479956 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers

Taxonomy Code332B00000X

Definition

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.

5745 WENDY BAGWELL PKWY STE 32, Hiram, GA 30141

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Other Identifiers 1

Medicare NSC5803740001GA

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

XPERIENCE DREVAGEE

Technician/Technologist (Optician)

5745 WENDY BAGWELL PKWY STE 32
HIRAM, GA 30141

Paulding County (678) 522-1093

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pak Medical, Inc.'s NPI number?

The NPI number for Pak Medical, Inc. is 1053479956. It was assigned to this organization in the NPPES registry on December 4, 2006.

Where is Pak Medical, Inc. located?

Pak Medical, Inc. is located at 5745 Wendy Bagwell Pkwy Ste 32, Hiram, GA 30141. The listed phone number is (770) 222-6678.

What is Pak Medical, Inc.'s specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for Pak Medical, Inc. was last updated on July 15, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.