Organization
GENESIS DME, INC.
Active
Parent organization
GENESIS DME, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
GENESIS DME, INC.
Authorized official
MR. DONNIE L STREAT SR. (CEO)
(912) 285-5200
Entity
Organization
Contact information
Practice address
201 WESTSIDE DR, DOUGLAS, GA 31533-3529
(912) 393-1250
(912) 393-1248
Mailing address
2501 PLANT AVE, WAYCROSS, GA 31501-6046
(912) 285-5200
(912) 285-9378
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003150824A
—
GA
Enumeration date
05/27/2010
Last updated
09/28/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us