P Praxis·MD
● Active Type 2 · Organization

Pansy'S Post Mastectomy Boutique, Inc.

Durable Medical Equipment & Medical Supplies·Rome, GA· NPI 1194904540 · Enumerated 2007 · 18 years on NPI
Pansy'S Post Mastectomy Boutique, Inc. is 1 of 2003 durable medical equipment & medical supplies organizations in Georgia.
NPI age
18 years
Enumerated 2007-11-01
Primary specialty
Durable Medical Equipment & Medical Supplies
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Goewey
Billing Manager
Last NPPES update
2014-09-12
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 · 2007 → 2026

2007-11Enumerated in NPPES
2007 2026

Where they practice

Primary practice location
100 Redmond Rd Nw
Rome, GA 301651536
📞 7062326600fax 7062326677
Mailing address
100 Redmond Rd Nw, Suite D
Rome, GA 301651536
📞 7062326600fax 7062326677

Authorized official

Kenneth David Goewey
Billing Manager
📞 7062326600

Specialties

  • Durable Medical Equipment & Medical Supplies Primary
    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.
    GA license #000484 taxonomy 332B00000X

Identifiers

TypeValueNotes
05 (GA) 585652876B

Practice context

Single-site organization. Only one practice location on file.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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