GEORGIA STATE MEDICAL SUPPLY LLC
NPI 1073872040
Durable Medical Equipment & Medical Supplies in Atlanta, GA

Q: What is Georgia State Medical Supply LLC's NPI number?

The NPI number for Georgia State Medical Supply LLC is 1073872040. It was assigned to this organization in the NPPES registry on May 11, 2012.

Q: What is Georgia State Medical Supply LLC's specialty?

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

Active since May 11, 2012

1841 PEACHTREE RD NE, ATLANTA, GA 30309(678) 974-5866(678) 974-5861 Get Directions Write a Review

NPPES record last updated: November 20, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Georgia State Medical Supply Llc NPPES

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

GEORGIA STATE MEDICAL SUPPLY LLC (NPI 1073872040) is a healthcare organization registered as a durable medical equipment & medical supplies in Atlanta, Georgia and active in the NPI registry since May 2012. The organization lists Malinda Waller, Owner, as its authorized official.

NPPES Registry Identity

NPI1073872040

Entity TypeOrganization

Primary Taxonomy332B00000X

Legal Business NameGEORGIA STATE MEDICAL SUPPLY LLC

Location Address1841 PEACHTREE RD NEAtlanta, GA 30309-1524

Mailing Address1841 Peachtree Rd NeAtlanta, GA 30309-1524 · (678) 974-5866 · Fax (678) 974-5861

Phone(678) 974-5866

Fax(678) 974-5861

Organization SubpartNo

Authorized OfficialMalinda WallerOwner · (678) 974-5866

Enumeration DateMay 11, 2012

Last NPPES UpdateNovember 20, 2013

✔ NPI 1073872040 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.

1841 PEACHTREE RD NE, Atlanta, GA 30309

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Other Providers at the Same Location NPPES

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

ATLANTA VISION INSTITUTE PC

Ophthalmology

1841 PEACHTREE RD NE
ATLANTA, GA 30309

Fulton County (770) 622-2488

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 Georgia State Medical Supply LLC's NPI number?

The NPI number for Georgia State Medical Supply LLC is 1073872040. It was assigned to this organization in the NPPES registry on May 11, 2012.

Where is Georgia State Medical Supply LLC located?

Georgia State Medical Supply LLC is located at 1841 Peachtree Rd NE, Atlanta, GA 30309. The listed phone number is (678) 974-5866.

What is Georgia State Medical Supply LLC'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 Georgia State Medical Supply LLC was last updated on November 20, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.