Provider Demographics
NPI:1760486740
Name:HIGHTOWER MEDICAL SYSTEMS, LLC
Entity Type:Organization
Organization Name:HIGHTOWER MEDICAL SYSTEMS, LLC
Other - Org Name:HIGHTOWER MEDICAL SYSTEMS, INC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:JOY
Authorized Official - Middle Name:T
Authorized Official - Last Name:HIGHSMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-991-2248
Mailing Address - Street 1:47 PERIMETER CENTER EAST
Mailing Address - Street 2:SUITE 250
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30346-2004
Mailing Address - Country:US
Mailing Address - Phone:888-979-1969
Mailing Address - Fax:888-364-2489
Practice Address - Street 1:47 PERIMETER CENTER EAST
Practice Address - Street 2:SUITE 250
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30346-2004
Practice Address - Country:US
Practice Address - Phone:888-979-1969
Practice Address - Fax:888-364-2489
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-08
Last Update Date:2017-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA7561000001Medicare NSC
MO1099170001Medicare NSC