Provider Demographics
NPI:1427026525
Name:MEDEASY, INC.
Entity Type:Organization
Organization Name:MEDEASY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:JACKSON
Authorized Official - Last Name:MORRIS
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:706-378-9115
Mailing Address - Street 1:315 W 10TH ST NE
Mailing Address - Street 2:SUITE 220
Mailing Address - City:ROME
Mailing Address - State:GA
Mailing Address - Zip Code:30165-2676
Mailing Address - Country:US
Mailing Address - Phone:706-378-9115
Mailing Address - Fax:706-378-0507
Practice Address - Street 1:315 W 10TH ST NE
Practice Address - Street 2:SUITE 220
Practice Address - City:ROME
Practice Address - State:GA
Practice Address - Zip Code:30165-2676
Practice Address - Country:US
Practice Address - Phone:706-378-9115
Practice Address - Fax:706-378-0507
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-14
Last Update Date:2009-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000930223AMedicaid
GA000930223AMedicaid