NPI age
18 years
Enumerated 2008-04-16
● Active Type 2 · Organization
Maxicare Medical Supply
Maxicare Medical Supply 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
Mbaba
Owner
Last NPPES update
2008-08-25
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
2008-04Enumerated in NPPES
2008
2026
Where they practice
Primary practice location
804 Commerce Blvd, Suite A-32
Riverdale, GA 302967198
Mailing address
804 Commerce Blvd, Suite A-32
Riverdale, GA 302967198
Authorized official
Efiong Eyo Mbaba, REGISTERED NURSE
Owner
📞 7709070194
Individual providers at this organization
3 individual providers on file at this primary practice address.
- Willie Cameron, LPC Counselor NPI 1588879803
- Efiong Mbaba, REGISTERED NURSE Durable Medical Equipment & Medical Supplies NPI 1477763654
- April Paulk, CPT, CNA Technician, Pathology NPI 1699591115
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.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 379763323A |
Practice context
Multi-provider organization. 3 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.