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SOUTHERN MEDICAL SUPPLY
NPI 1114014347
Durable Medical Equipment & Medical Supplies in Fort Oglethorpe, GA

Active since October 09, 2006
91 CRYE LEIKE DR, FORT OGLETHORPE, GA 30742(706) 861-7303(706) 861-0201 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Southern Medical Supply NPPES

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

SOUTHERN MEDICAL SUPPLY (NPI 1114014347) is a healthcare organization registered as a durable medical equipment & medical supplies in Fort Oglethorpe, Georgia and active in the NPI registry since October 2006. The organization lists Donna Carroll, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1114014347
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameSOUTHERN MEDICAL SUPPLY
Location Address91 CRYE LEIKE DRFort Oglethorpe, GA 30742-4055
Mailing AddressPo Box 5513Fort Oglethorpe, GA 30742-0713 · (706) 861-7303 · Fax (706) 861-0201
Phone(706) 861-7303
Fax(706) 861-0201
Organization SubpartNo
Authorized OfficialDonna CarrollOffice Manager · (706) 861-7303
Enumeration DateOctober 9, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1114014347 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
License✔ Licensed in GA · 957
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.
91 CRYE LEIKE DR, Fort Oglethorpe, GA 30742
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Other Identifiers 1

Medicaid00434662AGA

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 Southern Medical Supply's NPI number?

The NPI number for Southern Medical Supply is 1114014347. It was assigned to this organization in the NPPES registry on October 9, 2006.

Where is Southern Medical Supply located?

Southern Medical Supply is located at 91 Crye Leike Dr, Fort Oglethorpe, GA 30742. The listed phone number is (706) 861-7303.

What is Southern Medical Supply'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 Southern Medical Supply was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.