NPI age
19 years
Enumerated 2006-07-18
● Active Type 2 · Organization
Medisource Home Medical
Medisource Home Medical is 1 of 192 durable medical equipment & medical supplies organizations in Georgia.
Primary specialty
Durable Medical Equipment & Medical Supplies
Plus 2 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Silva
Owner
Last NPPES update
2020-10-13
Source: monthly bulk 2026-05
How this organization compares
Across 192 active durable medical equipment & medical supplies providers in Georgia.
NPI age
19 years
↑ 9 yr above median
Practice locations
1
0 secondary on file
Subspecialties
2
In the 26% of peers with subspecialties
NPI lifetime · 2006 → 2026
2006-07Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
975 Cobb Place Blvd Nw Ste 113
Kennesaw, GA 301446848
Mailing address
975 Cobb Place Blvd Nw Ste 113
Kennesaw, GA 301446848
Authorized official
Sergio Silva
Owner
📞 7705289559
Specialties
-
Durable Medical Equipment & Medical Supplies PrimaryDefinition to come...
-
Durable Medical Equipment & Medical SuppliesA 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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 52164995 | BCBS |
| 05 (GA) | 341310291A | |
| 01 (GA) | 1023735 | UHC |
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.