SOUTHEAST MEDICAL INC. NPI 1427081934

NPI Information

  • NPI: 1427081934
  • Provider Name: SOUTHEAST MEDICAL, INC.
  • Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
  • Entity Type: Organization
  • :
  • Address: 75 N MAIN ST STE 229
    CLAYTON, GA
    ZIP 30525
  • Phone: (678) 707-8807

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NPI Details

SOUTHEAST MEDICAL, INC. is a durable medical equipment medical supplies in Clayton, GA. The provider is 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. SOUTHEAST MEDICAL, INC. NPI is 1427081934. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

75 N MAIN ST STE 229
CLAYTON, GA
ZIP 30525-264
Phone: (678) 707-8807
Fax: (706) 212-7912

The provider's authorized official is Emily M Vestal .
The authorized official title is President And Director and has the following contact phone number (866) 897-8588.

The enumeration date for this NPI number is 7/8/2006 and was last updated on 9/22/2025.

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
1332B00000XDurable Medical Equipment & Medical 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
1893856568BMEDICAIDGEORGIA
2EN2129-CLTCMEDICAIDSOUTH CAROLINA
3DE2802MEDICAIDSOUTH CAROLINA
47705428MEDICAIDNORTH CAROLINA
5893856568AMEDICAIDGEORGIA

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: 11/21/2025

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