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MEDLIFE MEDICAL SUPPLY LLC
NPI 1164691598
Durable Medical Equipment & Medical Supplies in Tucker, GA

Active since February 29, 2008
2191 NORTHLAKE PKWY, SUITE-J BLDG #11, TUCKER, GA 30084(770) 908-5666(770) 908-5675 Get Directions Write a Review

NPPES record last updated: June 20, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Medlife Medical Supply Llc NPPES

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

MEDLIFE MEDICAL SUPPLY LLC (NPI 1164691598) is a healthcare organization registered as a durable medical equipment & medical supplies in Tucker, Georgia and active in the NPI registry since February 2008. The organization lists Kenneth B Smith, Owner General Manager, as its authorized official.

NPPES Registry Identity

NPI1164691598
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameMEDLIFE MEDICAL SUPPLY LLC
Location Address2191 NORTHLAKE PKWY, SUITE-J BLDG #11Tucker, GA 30084-4166
Mailing Address2191 Northlake Pkwy, Suite-j Bldg #11Tucker, GA 30084-4166 · (770) 908-5666 · Fax (770) 908-5675
Phone(770) 908-5666
Fax(770) 908-5675
Organization SubpartNo
Authorized OfficialKenneth B SmithOwner General Manager · (770) 908-5666
Enumeration DateFebruary 29, 2008
Last NPPES UpdateJune 20, 2008
✔ NPI 1164691598 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 · 20020660338
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.
2191 NORTHLAKE PKWY, Tucker, GA 30084
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Other Identifiers 1

Medicare NSC6102390001GA

Other Providers at the Same Location NPPES 8

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

ROGER ALAN KILCREASE P.T.
Physical Therapist (Orthopedic)
2191 NORTHLAKE PKWY, SUITE 31
TUCKER, GA 30084
Dekalb County (770) 491-6004
DR. JONATHAN JAMIR EATON D.D.S.
Dentist (Pediatric Dentistry)
2191 NORTHLAKE PKWY, BULDING 11, SUITE 20
TUCKER, GA 30084
Dekalb County (770) 934-3506
RICHARD EDWARD NYBERG P.T.
Physical Therapist (Orthopedic)
2191 NORTHLAKE PKWY, SUITE 31
TUCKER, GA 30084
Dekalb County (770) 491-6004
DR. MICHAEL STANLEY JOHNSTON M.D.
Pain Medicine (Pain Medicine)
2191 NORTHLAKE PKWY, SUITE 1122
TUCKER, GA 30084
Dekalb County (678) 822-5810
PAMELA MAY P.T.
Physical Therapist (Orthopedic)
2191 NORTHLAKE PKWY, SUITE 31
TUCKER, GA 30084
Dekalb County (770) 491-6004
DEBORAH ANN HERBERGER P.T.
Physical Therapist
2191 NORTHLAKE PKWY, SUITE 31
TUCKER, GA 30084
Dekalb County (770) 491-6004
KENNETH B SMITH
Durable Medical Equipment & Medical Supplies
2191 NORTHLAKE PKWY, BLDG. #11, SUITE-J
TUCKER, GA 30084
Dekalb County (770) 908-5666
AMERICARE MEDICAL AND SURGICAL SUPPLY CO
Durable Medical Equipment & Medical Supplies
2191 NORTHLAKE PKWY, SUITE F
TUCKER, GA 30084
Dekalb County (770) 270-5350

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 Medlife Medical Supply LLC's NPI number?

The NPI number for Medlife Medical Supply LLC is 1164691598. It was assigned to this organization in the NPPES registry on February 29, 2008.

Where is Medlife Medical Supply LLC located?

Medlife Medical Supply LLC is located at 2191 Northlake Pkwy Suite-J Bldg #11, Tucker, GA 30084. The listed phone number is (770) 908-5666.

What is Medlife 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 Medlife Medical Supply LLC was last updated on June 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.