1. Home
  2. Directory
  3. Georgia
  4. Kennesaw
  5. Durable Medical Equipment Medical Supplies
  6. NPI Profile

MEDISOURCE HOME MEDICAL
NPI 1770501736
Durable Medical Equipment & Medical Supplies - Customized Equipment in Kennesaw, GA

Active since July 18, 2006
975 COBB PLACE BLVD NW STE 113, KENNESAW, GA 30144(770) 528-9559(770) 528-9309 Get Directions Write a Review

NPPES record last updated: October 13, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Medisource Home Medical NPPES

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

MEDISOURCE HOME MEDICAL (NPI 1770501736) is a healthcare organization registered as a customized equipment in Kennesaw, Georgia and active in the NPI registry since July 2006. The organization lists Sergio Silva, Owner, as its authorized official.

NPPES Registry Identity

NPI1770501736
Entity TypeOrganization
Primary Taxonomy332BC3200X
Legal Business NameMEDISOURCE HOME MEDICAL
Location Address975 COBB PLACE BLVD NW STE 113Kennesaw, GA 30144-6848
Mailing Address975 Cobb Place Blvd Nw Ste 113Kennesaw, GA 30144-6848 · (770) 528-9559 · Fax (770) 528-9309
Phone(770) 528-9559
Fax(770) 528-9309
Organization SubpartNo
Authorized OfficialSergio SilvaOwner · (770) 528-9559
Enumeration DateJuly 18, 2006
Last NPPES UpdateOctober 13, 2020
NPPES CertifiedOctober 13, 2020
✔ NPI 1770501736 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDurable Medical Equipment & Medical Supplies · Customized EquipmentSuppliers
Taxonomy Code332BC3200X
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedDurable Medical Equipment & Medical Supplies · Oxygen Equipment & SuppliesTaxonomy 332BX2000X
975 COBB PLACE BLVD NW STE 113, Kennesaw, GA 30144
Open in Google Maps ↗

Other Identifiers 3

Medicaid341310291AGA
Other52164995GA · Bcbs
Other1023735GA · Uhc

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Mending Health.Insurance ›

Medical Equipment Supplier Medicare DMEPOS 28

Medicare supplier enrollment and the product categories Medi-Source Home Medical Inc. carries, from the Medicare DMEPOS supplier directory.

Medi-Source Home Medical Inc.

DMEPOS supplier · Kennesaw, GAOperated by Medisource Home Medical
⋮

Does not accept Medicare assignment

Medi-Source Home Medical Inc. has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20523353
Medicare Participant SinceJanuary 1, 2012
Supplier Location975 Cobb Place Blvd NW Ste 113Kennesaw, GA 30144
Phone(770) 528-9559
Provider TypeOxygen & Equipment
Supplier Specialties
Medical Supply Company Other

Medicare Product Categories

Commodes, Urinals, Bedpans
Raised toilets, Drop-arm commodes, Folding commodes, Plastic urinals, Plastic bedpans, Disposable urinals
Blood Glucose Monitors/Supplies (Non-Mail Order)
Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
Heat & Cold Applications
Heat therapy, Cold therapy, Heating pads
Hospital Beds (Electric)
Total electric hospital beds, Semi-electric hospital beds
Hospital Beds (Manual)
Fixed height hospital beds, Variable height hospital beds
Support Surfaces: Pressure Reducing Beds/Mats/Pads
Group 1 – Alternating pressure pad, Air/Water/Dry pressure pad or pressure mattress. Group 2 - Pressure reducing powered air mattresses, Powered air flotation bed, non-powered pressure reducing mattress Group 3 – Air fluidized bed
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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 Medisource Home Medical's NPI number?

The NPI number for Medisource Home Medical is 1770501736. It was assigned to this organization in the NPPES registry on July 18, 2006.

Where is Medisource Home Medical located?

Medisource Home Medical is located at 975 Cobb Place Blvd NW Ste 113, Kennesaw, GA 30144. The listed phone number is (770) 528-9559.

What is Medisource Home Medical's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies, specializing in Customized Equipment, with taxonomy code 332BC3200X.

Does Medisource Home Medical accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Medi-Source Home Medical Inc. does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

What insurance does Medisource Home Medical accept?

Health plans from Mending Health list Medisource Home Medical as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Medisource Home Medical was last updated on October 13, 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.