Rj Medical Supply
Durable Medical Equipment & Medical Supplies in Fayetteville, GA. Organization (NPI-2).
Details
- NPI
- 1619681012
- Entity type
- Organization (NPI-2)
- Legal business name
- Rj Medical Supply
- Organization subpart
- No
- Enumeration date
- Jan 10, 2023
- Certification date
- Apr 17, 2025
- Last updated
- Apr 17, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · DME SUPPLIER - MEDICAL SUPPLY COMPANY
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | Yes |
Practice location
1572 Highway 85 N Ste 338Fayetteville, GA 30214-7729
Phone 470-592-5811 · Fax 770-216-1818
Mailing address
1572 Highway 85 N Ste 338Fayetteville, GA 30214-7729
Phone 470-592-5811 · Fax 770-216-1818
Authorized official
Judith Fairclough
President
4048085118
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 52 Durable Medical Equipment & Medical Supplies providers in Fayetteville · All 2,252 providers in Fayetteville
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