NPI age
9 years
Enumerated 2017-02-28
● Active Type 2 · Organization
Premier Medical Supply
Premier 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
Uboh
Ceo
Last NPPES update
2017-02-28
Source: monthly bulk 2026-05
How this organization compares
Across 2003 active durable medical equipment & medical supplies providers in Georgia.
NPI age
9 years
↓ 4 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2017 → 2026
2017-02Enumerated in NPPES
2017
2026
Where they practice
Primary practice location
1240 Highway 54 W, Suite 504
Fayetteville, GA 302144557
Mailing address
1240 Highway 54 W, Suite 504
Fayetteville, GA 302144557
Authorized official
Jalen Uboh
Ceo
📞 7707311935
Individual providers at this organization
5 individual providers on file at this primary practice address.
- Gina Johnson, D.O. Family Medicine NPI 1790846210
- Lisa Merritt, NP Family Medicine NPI 1386917995
- Howard Silk, MD Allergy & Immunology NPI 1912944828
- Crystal Wade, LDO Technician/Technologist NPI 1326483405
- Fang Yu, NURSE PRACTITIONER Nurse Practitioner NPI 1588097612
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. 5 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.