SQUAD MEDICAL SUPPLY LLC
NPI 1477399319
Durable Medical Equipment & Medical Supplies in Fayetteville, GA

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

The NPI number for Squad Medical Supply LLC is 1477399319. It was assigned to this organization in the NPPES registry on July 1, 2024.

Q: What is Squad Medical Supply LLC's specialty?

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

Active since July 01, 2024

105 COMMERCE DR STE C, FAYETTEVILLE, GA 30214(678) 519-0842 Get Directions Write a Review

NPPES record last updated: November 25, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Nov 25, 2025, Jul 10, 2024, Jul 1, 2024 (3 updates tracked since 2024).

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About Squad Medical Supply Llc NPPES

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

SQUAD MEDICAL SUPPLY LLC (NPI 1477399319) is a healthcare organization registered as a durable medical equipment & medical supplies in Fayetteville, Georgia and active in the NPI registry since July 2024. The organization lists John Smith, Owner, as its authorized official.

NPPES Registry Identity

NPI1477399319

Entity TypeOrganization

Primary Taxonomy332B00000X

Legal Business NameSQUAD MEDICAL SUPPLY LLC

Location Address105 COMMERCE DR STE CFayetteville, GA 30214-7352

Mailing Address1260 Buckingham DrFairburn, GA 30213-6479

Phone(678) 519-0842

Organization SubpartNo

Authorized OfficialJohn SmithOwner · (404) 442-2019

Enumeration DateJuly 1, 2024

Last NPPES UpdateNovember 25, 20253 updates tracked since enumeration

NPPES CertifiedNovember 25, 2025

✔ NPI 1477399319 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.

105 COMMERCE DR STE C, Fayetteville, GA 30214

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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 Squad Medical Supply LLC's NPI number?

The NPI number for Squad Medical Supply LLC is 1477399319. It was assigned to this organization in the NPPES registry on July 1, 2024.

Where is Squad Medical Supply LLC located?

Squad Medical Supply LLC is located at 105 Commerce Dr Ste C, Fayetteville, GA 30214. The listed phone number is (678) 519-0842.

What is Squad 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 Squad Medical Supply LLC was last updated on November 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.