Provider Demographics
NPI:1821063397
Name:PARRIS MEDICAL SERVICES, INC
Entity Type:Organization
Organization Name:PARRIS MEDICAL SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACCOUNTS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SHERI
Authorized Official - Middle Name:D
Authorized Official - Last Name:MILLS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:706-632-5222
Mailing Address - Street 1:PO BOX 2230
Mailing Address - Street 2:
Mailing Address - City:BLUE RIDGE
Mailing Address - State:GA
Mailing Address - Zip Code:30513-0039
Mailing Address - Country:US
Mailing Address - Phone:706-632-5222
Mailing Address - Fax:706-632-6941
Practice Address - Street 1:2714 E FIRST ST
Practice Address - Street 2:SUITE 2
Practice Address - City:BLUE RIDGE
Practice Address - State:GA
Practice Address - Zip Code:30513-4510
Practice Address - Country:US
Practice Address - Phone:706-632-5222
Practice Address - Fax:706-632-6941
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-20
Last Update Date:2015-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPHRE008154332B00000X
GA302061143332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA5091490001Medicare NSC