NPI age
19 years
Enumerated 2006-06-08
● Active Type 2 · Organization
Bulloch Home Medical Inc.
Bulloch Home Medical Inc. 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
Fiveash
President
Last NPPES update
2011-10-18
Source: monthly bulk 2026-05
How this organization compares
Across 2003 active durable medical equipment & medical supplies providers in Georgia.
NPI age
19 years
↑ 6 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-06Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
219 B. South Duval Street
Claxton, GA 304172031
Mailing address
P.o. Box 702
Claxton, GA 304170702
Authorized official
Charles Arthur Fiveash
President
📞 9122905063
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) | 199141282A |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Georgia Home Medical
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.