Mountain Medical Supply, LLC
NPI 1306362769 · Durable Medical Equipment & Medical Supplies · Aiken, SC
Enrolled with Medicare as Dme Supplier - Medical Supply Company · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mountain Medical Supply, LLC is a Durable Medical Equipment & Medical Supplies organization in Aiken, SC (NPI 1306362769).
Provider details
- NPI number
- 1306362769
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- Wayne Reaves, Chief Financial Officer(435) 327-0227
- License
- 170014 (KY)
Specialties & taxonomies
Suppliers
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
2 documented practice locations
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
Additional practice locations (1)
- 711 Jefferson StPaducah, KY 42001-6817Phone: (435) 327-0227Fax: (877) 492-2716
Registry dates
- Enumerated
- 2017-08-17
- Last updated
- 2022-09-08
- Certified
- 2022-09-08
Frequently asked questions
- What is Mountain Medical Supply, LLC's NPI number?
- Mountain Medical Supply, LLC's National Provider Identifier (NPI) is 1306362769, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mountain Medical Supply, LLC?
- Mountain Medical Supply, LLC is classified in the NPPES registry as Durable Medical Equipment & Medical Supplies (Suppliers).
- Where is Mountain Medical Supply, LLC located?
- Mountain Medical Supply, LLC's practice location on file with NPPES is 6170 Woodside Executive Ct, Aiken, SC 29803-3820.
- What is Mountain Medical Supply, LLC's phone number?
- The practice phone number listed in the NPPES registry for Mountain Medical Supply, LLC is (435) 327-0227.
- Does Mountain Medical Supply, LLC accept Medicare?
- Mountain Medical Supply, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Mountain Medical Supply, LLC?
- The authorized official listed on Mountain Medical Supply, LLC's NPPES record is Wayne Reaves, Chief Financial Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mountain Medical Supply, LLC's NPI active?
- Yes — Mountain Medical Supply, LLC's NPI (1306362769) is active in the NPPES registry as of the last update on 2022-09-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.