OrganizationActive
Pak Medical, Inc.
NPI 1053479956 · Durable Medical Equipment & Medical Supplies · Hiram, GA
Provider details
- NPI number
- 1053479956
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- Anita Kennerley, Vice President(770) 222-6678
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5745 Wendy Bagwell Pkwy Ste 32
Hiram, GA 30141-2885
Phone: (770) 222-6678
Fax: (770) 222-6680
Street-level locationGet directions
Mailing address
Po Box 1042
Hiram, GA 30141-1042
Registry dates
- Enumerated
- 2006-12-04
- Last updated
- 2010-07-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.