Source Medical Supplies
Durable Medical Equipment & Medical Supplies
1572 Highway 85 N Ste 316, Fayetteville
Georgia, 30214-7727
678-755-2554 Source Medical Supplies is an authorized DME supplier for medicare equipment and products.Source Medical Supplies is a Durable Medical Equipment & Medical Supplies in Fayetteville, Georgia. It is located at 1572 Highway 85 N Ste 316, Fayetteville and it's customer support contact number is 678-755-2554. The authorized person of Source Medical Supplies is David Smith who is Officer of this DME and his contact number is 678-755-2554. Source Medical Supplies accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Source Medical Supplies is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
DME Supplier Details:
Source Medical Supplies type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Source Medical Supplies |
| Type: | Durable Medical Equipment & Medical Supplies |
| Location: | 1572 Highway 85 N Ste 316, Fayetteville, Georgia, 30214-7727 |
| Phone: | 678-755-2554 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | David Smith |
| Position: | Officer |
| Contact Number: | 678-755-2554 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1588352611 |
| NPI Enumeration Date: | 26 Apr, 2023 |
| NPI Last Update On: | 31 Aug, 2023 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Source Medical Supplies are as mentioned below.
| Specialization | License Number | State | Status | |
| Durable Medical Equipment & Medical Supplies | | | Primary | |
Medicare Enrollment:
Source Medical Supplies is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 1759823370 | O20240611000014 | Source Medical Supplies | DME SUPPLIER - MEDICAL SUPPLY COMPANY |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 100 Northtowne Cv, Stockbridge, Georgia |
| Zip: | 30281-1097 |
| Phone Number: | 678-755-2554 |
Patients can reach Source Medical Supplies at
1572 Highway 85 N Ste 316, Fayetteville, Georgia or can
call on customer care at 678-755-2554.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.