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BIBOMBA DAVENPORT
NPI 1679901995
Durable Medical Equipment & Medical Supplies in Smyrna, GA

Active since October 23, 2013
2690 MT WILKINSON PKWY SE, 22, SMYRNA, GA 30080(404) 510-2604 Get Directions Write a Review

NPPES record last updated: May 31, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 31, 2023, May 22, 2023 (2 updates tracked since 2023).

About Bibomba Davenport NPPES

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

BIBOMBA DAVENPORT (NPI 1679901995) is an individual durable medical equipment & medical supplies provider in Smyrna, Georgia and active in the NPI registry since October 2013.

NPPES Registry Identity

NPI1679901995
Entity TypeIndividualFemale
Primary Taxonomy332B00000X
Provider Legal NameBIBOMBA DAVENPORT
Location Address2690 MT WILKINSON PKWY SE, 22Smyrna, GA 30080-3020
Mailing Address2690 Mt Wilkinson Pkwy Se, 22Smyrna, GA 30080 · (404) 510-2604
Phone(404) 510-2604
Sole ProprietorYes
Enumeration DateOctober 23, 2013
Last NPPES UpdateMay 31, 20232 updates tracked since enumeration
NPPES CertifiedMay 22, 2023
✔ NPI 1679901995 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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.
Also ListedSpecialist · Prosthetics Case ManagementTaxonomy 1744P3200X · License 1744P3200X (GA)
Also ListedProsthetic/Orthotic SupplierTaxonomy 335E00000X
2690 MT WILKINSON PKWY SE, Smyrna, GA 30080
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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 Bibomba Davenport's NPI number?

The NPI number for Bibomba Davenport is 1679901995. It was assigned to this individual provider in the NPPES registry on October 23, 2013.

Where is Bibomba Davenport located?

Bibomba Davenport practices at 2690 Mt Wilkinson Pkwy SE 22, Smyrna, GA 30080. The listed phone number is (404) 510-2604.

What is Bibomba Davenport'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 Bibomba Davenport was last updated on May 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.