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Southern Medical Supply

Durable Medical Equipment & Medical Supplies in Fort Oglethorpe, GA · enumerated 2006 · authorized official Donna Carroll, Office Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1114014347

Verified

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Registry record

Entity type Organization (Type 2)
Legal business name Southern Medical Supply
Practice address 91 Crye Leike Dr, Fort Oglethorpe, GA, 30742
Fax (706) 861-0201
Enumeration date Oct 9, 2006
Last updated in NPPES Aug 22, 2020

Taxonomy & classification

332B00000X Durable Medical Equipment & Medical Supplies Suppliers · License 957 (GA) Primary

Authorized official

Name Donna Carroll
Title Office Manager

Other identifiers

Identifier Type State Issuer
00434662A Medicaid GA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2020-08-22. Verify at npiregistry.cms.hhs.gov.
Where is Southern Medical Supply located?
The practice location on file with NPPES is in Fort Oglethorpe, GA.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-22.