OrganizationActive
Source One Medical Inc
NPI 1750388252 · Durable Medical Equipment & Medical Supplies · Marietta, GA
Provider details
- NPI number
- 1750388252
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- Dennis Kline, President/Ceo(888) 447-9056
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
2121 New Market Pkwy Se
Suite 108
Marietta, GA 30067-9315
Phone: (888) 447-9056
Fax: (800) 588-1253
Street-level locationGet directions
Mailing address
38 Tesla
Irvine, CA 92618-4670
Other names (DBA / former)
- Doing business as
- Source One Medical Inc
Registry dates
- Enumerated
- 2005-06-30
- Last updated
- 2011-05-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.