Premium Medical Supply LLC
NPI 1164915427 · Durable Medical Equipment & Medical Supplies · Decatur, GA
Premium Medical Supply LLC is a Durable Medical Equipment & Medical Supplies organization in Decatur, GA (NPI 1164915427).
Provider details
- NPI number
- 1164915427
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- Keyanna Willis, President(404) 448-4577
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
Mailing address
Registry dates
- Enumerated
- 2018-06-12
- Last updated
- 2018-12-05
Frequently asked questions
- What is Premium Medical Supply LLC's NPI number?
- Premium Medical Supply LLC's National Provider Identifier (NPI) is 1164915427, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Premium Medical Supply LLC?
- Premium Medical Supply LLC is classified in the NPPES registry as Durable Medical Equipment & Medical Supplies (Suppliers).
- Where is Premium Medical Supply LLC located?
- Premium Medical Supply LLC's practice location on file with NPPES is 3011 Rainbow Dr Ste 303, Decatur, GA 30034-1681.
- What is Premium Medical Supply LLC's phone number?
- The practice phone number listed in the NPPES registry for Premium Medical Supply LLC is (404) 448-4577.
- Who is the authorized official for Premium Medical Supply LLC?
- The authorized official listed on Premium Medical Supply LLC's NPPES record is Keyanna Willis, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Premium Medical Supply LLC's NPI active?
- Yes — Premium Medical Supply LLC's NPI (1164915427) is active in the NPPES registry as of the last update on 2018-12-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.