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Medisource Home Medical

Customized Equipment (DME) in Kennesaw, GA · enumerated 2006 · authorized official Sergio Silva, Owner.

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

National Provider Identifier

1770501736

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Registry record

Entity type Organization (Type 2)
Legal business name Medisource Home Medical
Practice address 975 Cobb Place Blvd Nw Ste 113, Kennesaw, GA, 30144
Phone (770) 528-9559
Fax (770) 528-9309
Enumeration date Jul 18, 2006
Last updated in NPPES Oct 13, 2020

Taxonomy & classification

332B00000X Durable Medical Equipment & Medical Supplies Suppliers Secondary
332BC3200X Customized Equipment (DME) Suppliers Primary
332BX2000X Oxygen Equipment & Supplies (DME) Suppliers Secondary

Authorized official

Name Sergio Silva
Title Owner
Phone (770) 528-9559

Other identifiers

Identifier Type State Issuer
52164995 Other GA BCBS
341310291A Medicaid GA -
1023735 Other GA UHC

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

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Medisource Home Medical?
Medisource Home Medical is registered in NPPES as a Customized Equipment (DME) (its primary provider taxonomy).

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-10-13.