Southeastern Medical Supply LLC
NPI 1477335255 · Durable Medical Equipment & Medical Supplies · Manchester, KY
Enrolled with Medicare as Dme Supplier - Medical Supply Company With Respiratory Therapist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Southeastern Medical Supply LLC is a Durable Medical Equipment & Medical Supplies organization in Manchester, KY (NPI 1477335255).
Provider details
- NPI number
- 1477335255
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- Sara Mahan, Billing Manager(606) 258-0001
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
- 2023-10-17
- Last updated
- 2023-10-17
- Certified
- 2023-10-17
Frequently asked questions
- What is Southeastern Medical Supply LLC's NPI number?
- Southeastern Medical Supply LLC's National Provider Identifier (NPI) is 1477335255, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southeastern Medical Supply LLC?
- Southeastern Medical Supply LLC is classified in the NPPES registry as Durable Medical Equipment & Medical Supplies (Suppliers).
- Where is Southeastern Medical Supply LLC located?
- Southeastern Medical Supply LLC's practice location on file with NPPES is 411 Richmond Rd, Manchester, KY 40962-1212.
- What is Southeastern Medical Supply LLC's phone number?
- The practice phone number listed in the NPPES registry for Southeastern Medical Supply LLC is (606) 391-1388.
- Does Southeastern Medical Supply LLC accept Medicare?
- Southeastern 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 Southeastern Medical Supply LLC?
- The authorized official listed on Southeastern Medical Supply LLC's NPPES record is Sara Mahan, Billing Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southeastern Medical Supply LLC's NPI active?
- Yes — Southeastern Medical Supply LLC's NPI (1477335255) is active in the NPPES registry as of the last update on 2023-10-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.