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DME SUPPLIER
NPI 1730175175
Durable Medical Equipment & Medical Supplies in Greenwood, MS

Active since September 21, 2005
2901 HIGHWAY 82 E, GREENWOOD, MS 38930(662) 453-6323(662) 455-9686 Get Directions Write a Review

NPPES record last updated: January 20, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dme Supplier NPPES

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

DME SUPPLIER (NPI 1730175175) is a healthcare organization registered as a durable medical equipment & medical supplies in Greenwood, Mississippi and active in the NPI registry since September 2005. The organization lists Tabatha Watkins, Administrator, as its authorized official.

NPPES Registry Identity

NPI1730175175
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameGOLDEN AGE INC
Location Address2901 HIGHWAY 82 EGreenwood, MS 38930-6072
Mailing Address2901 Hwy 82 EGreenwood, MS 38930-6072 · (662) 453-6323 · Fax (662) 455-9686
Phone(662) 453-6323
Fax(662) 455-9686
Organization SubpartNo
Authorized OfficialTabatha WatkinsAdministrator · (662) 453-6323
Enumeration DateSeptember 21, 2005
Last NPPES UpdateJanuary 20, 2022
NPPES CertifiedJanuary 20, 2022
✔ NPI 1730175175 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 MS · 46
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.
2901 HIGHWAY 82 E, Greenwood, MS 38930
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Other Names 1

Doing Business AsDme Supplier

Other Identifiers 1

Medicaid0440264MS

Other Providers at the Same Location NPPES 5

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

MRS. BRANDY G SMITH FNP-BC
Nurse Practitioner (Family)
2901 HIGHWAY 82 E
GREENWOOD, MS 38930
Leflore County (662) 374-2185
JACQUELINE SUSZAN WARE FNP
Nurse Practitioner (Family)
2901 HIGHWAY 82 E
GREENWOOD, MS 38930
Leflore County (662) 374-2135
GOLDEN AGE INC
Clinic/Center (Rural Health)
2901 HIGHWAY 82 E
GREENWOOD, MS 38930
Leflore County (662) 374-2185
DR. WILLIAM B HARPER D. O.
Family Medicine
2901 HIGHWAY 82 E
GREENWOOD, MS 38930
Leflore County (662) 374-2185
GOLDEN AGE INC
Nursing Facility/Intermediate Care Facility
2901 HIGHWAY 82 E
GREENWOOD, MS 38930
Leflore County (662) 453-6323

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 Golden Age Inc's NPI number?

The NPI number for Golden Age Inc is 1730175175. It was assigned to this organization in the NPPES registry on September 21, 2005. The provider is doing business as Dme Supplier.

Where is Golden Age Inc located?

Golden Age Inc is located at 2901 Highway 82 E, Greenwood, MS 38930. The listed phone number is (662) 453-6323.

What is Golden Age Inc'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 Golden Age Inc was last updated on January 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.