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NPI Record: ActiveDurable Medical Equipment & Medical Supplies — Customized Equipment
NPI1164701330
Conyers, Georgia

Provider's NPPES record last updated: August 5, 2011

Overview

Entity Type
Organization
NPI
1164701330
Primary Specialty
Durable Medical Equipment & Medical Supplies — Customized Equipment
Practice Location
Conyers, Georgia
Organization Subpart
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 20, 2026, 9:14 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Durable Medical Equipment & Medical Supplies

    Customized Equipment

    Suppliers

    Primary

    Definition to come...

    Taxonomy code 332BC3200X

Provider-Reported License Information

Durable Medical Equipment & Medical Supplies (Georgia)
BL-008270
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

1573 Georgia Highway 20 Ne Ste 106

Conyers, Georgia 30012-8004

Phone: (770) 922-9006

Record Information

Enumeration Date
August 5, 2011
Provider's NPPES Record Last Updated
August 5, 2011
NPISignal NPPES Dataset
August 2026

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