Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Ccc Medical Inc

Community/Retail Pharmacy in Conyers, GA · enumerated 2006 · authorized official Heyward Woodward, President.

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

National Provider Identifier

1912091323

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Registry record

Entity type Organization (Type 2)

Legal business name Ccc Medical Inc

Other name <Unavail>

Practice address 2280 Salem Rd Se, Suite 103, Conyers, GA, 30013

Phone (770) 483-6811

Fax (770) 483-1776

Enumeration date Oct 3, 2006

Last updated in NPPES Mar 7, 2023

Taxonomy & classification

333600000X Pharmacy Suppliers · License 005339 (GA) Secondary

3336C0003X Community/Retail Pharmacy Suppliers Primary

Authorized official

Name Heyward Woodward

Title President

Phone (770) 483-6811

Other identifiers

Identifier	Type	State	Issuer
00112516B	Medicaid	GA	-
1108338	Other	-	OTHER ID NUMBER-COMMERCIAL NUMBER
00112516A	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 2023-03-07. Verify at npiregistry.cms.hhs.gov.

Where is Ccc Medical Inc located?

The practice location on file with NPPES is in Conyers, GA.

Providers at this address

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Darryl S Gross MD PC General Practice Physician · Conyers, GA NPI 1285814491

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-03-07.