P Praxis·MD
● Active Type 2 · Organization

Source One Medical Inc

Durable Medical Equipment & Medical Supplies·Marietta, GA· NPI 1750388252 · Enumerated 2005 · 20 years on NPI
Source One Medical Inc is 1 of 2003 durable medical equipment & medical supplies organizations in Georgia.
NPI age
20 years
Enumerated 2005-06-30
Primary specialty
Durable Medical Equipment & Medical Supplies
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Kline
President/ceo
Last NPPES update
2011-05-27
Source: monthly bulk 2026-05

How this organization compares

Across 2003 active durable medical equipment & medical supplies providers in Georgia.

NPI age
20 years
↑ 7 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2005 → 2026

2005-06Enumerated in NPPES
2005 2026

Where they practice

Primary practice location
2121 New Market Pkwy Se, Suite 108
Marietta, GA 300679315
📞 8884479056fax 8005881253
Mailing address
38 Tesla, Suite 150
Irvine, CA 926184670
📞 8884479056fax 8005881253

Authorized official

Dennis Kline
President/ceo
📞 8884479056

Individual providers at this organization

1 individual provider on file at this primary practice address.

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.
    taxonomy 332B00000X

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • Source One Medical Inc
    Type code 3 recorded 2011-02-15

Practice context

Multi-provider organization. 1 individual provider on file at this primary address.

Provyx · Custom healthcare lists

Need all 2003 Durable Medical Equipment & Medical Supplies providers in Georgia?

Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.

Request a quote →

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.

Related