NPI age
18 years
Enumerated 2008-02-29
● Active Type 2 · Organization
Medlife Medical Supply Llc
Medlife Medical Supply Llc is 1 of 2003 durable medical equipment & medical supplies organizations in Georgia.
Primary specialty
Durable Medical Equipment & Medical Supplies
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Smith
Owner General Manager
Last NPPES update
2008-06-20
Source: monthly bulk 2026-05
How this organization compares
Across 2003 active durable medical equipment & medical supplies providers in Georgia.
NPI age
18 years
↑ 5 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2008 → 2026
2008-02Enumerated in NPPES
2008
2026
Where they practice
Primary practice location
2191 Northlake Pkwy, Suite-J Bldg #11
Tucker, GA 300844166
Mailing address
2191 Northlake Pkwy, Suite-J Bldg #11
Tucker, GA 300844166
Authorized official
Kenneth B Smith
Owner General Manager
📞 7709085666
Individual providers at this organization
7 individual providers on file at this primary practice address.
- Jonathan Eaton, D.D.S. Dentist NPI 1285721118
- Deborah Herberger, P.T. Physical Therapist NPI 1740478734
- Michael Johnston, M.D. Pain Medicine NPI 1427116169
- Roger Kilcrease, P.T. Physical Therapist NPI 1104014125
- Pamela May, P.T. Physical Therapist NPI 1588840003
- Richard Nyberg, P.T. Physical Therapist NPI 1366630345
- Kenneth Smith Durable Medical Equipment & Medical Supplies NPI 1851572051
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.
Practice context
Multi-provider organization. 7 individual providers on file at this primary address.
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- 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.