NPI age
13 years
Enumerated 2013-04-08
● Active Type 2 · Organization
Angus Lake Infusion Services
Angus Lake Infusion Services is 1 of 2003 durable medical equipment & medical supplies organizations in Georgia.
Primary specialty
Durable Medical Equipment & Medical Supplies
Plus 3 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Stanley
Member
Last NPPES update
2013-10-18
Source: monthly bulk 2026-05
How this organization compares
Across 2003 active durable medical equipment & medical supplies providers in Georgia.
NPI age
13 years
≈ at median (13 yr)
Practice locations
1
0 secondary on file
Subspecialties
3
In the 13% of peers with subspecialties
NPI lifetime · 2013 → 2026
2013-04Enumerated in NPPES
2013
2026
Where they practice
Primary practice location
240 Milledgeville Rd, Suite B
Gordon, GA 310313827
Mailing address
Po Box 249
Gordon, GA 310310249
Authorized official
Carl Lake Stanley, RPH
Member
📞 4783872399
Specialties
-
Durable Medical Equipment & Medical Supplies PrimaryA 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.
-
Durable Medical Equipment & Medical SuppliesDefinition to come...
-
PharmacyA pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of...
-
PharmacyPharmacy-based, decentralized patient care organization with expertise in USP 797-compliant sterile drug compounding that provides care to patients with acute or chronic conditions generally pertaining to parenteral administration of...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 003137168A |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Angus Lake Vital Care
Practice context
Single-site organization. Only one practice location on file.
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Request a quote →How to verify this organization
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.