GENESIS DME INC. NPI 1124347364

NPI Information

  • NPI: 1124347364
  • Provider Name: GENESIS DME, INC.
  • Classification: Durable Medical Equipment & Medical Supplies - 332BX2000X
  • Specialization: Oxygen Equipment & Supplies
  • Entity Type: Organization
  • Address: 201 WESTSIDE DR
    DOUGLAS, GA
    ZIP 31533
  • Phone: (912) 393-1250

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NPI Details

GENESIS DME, INC. is an oxygen equipment and supplies durable medical equipment medical supplies in Douglas, GA. GENESIS DME, INC. NPI is 1124347364. The provider is registered as an organization entity type.

The provider's business location address is:

201 WESTSIDE DR
DOUGLAS, GA
ZIP 31533-529
Phone: (912) 393-1250
Fax: (912) 393-1248

The provider's authorized official is Donnie L Streat .
The authorized official title is Ceo and has the following contact phone number (912) 285-5200.

The enumeration date for this NPI number is 5/27/2010 and was last updated on 9/28/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332BP3500XDurable Medical Equipment & Medical SuppliesParenteral & Enteral NutritionNo
2335E00000XProsthetic/Orthotic SupplierNo
3332BX2000XDurable Medical Equipment & Medical SuppliesOxygen Equipment & SuppliesYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
14144260002MEDICARE NSC
2003150824AMEDICAIDGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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