Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Blue Genesis Holdings LLC

Organization Durable Medical Equipment & Medical Supplies · NPI 1679126445

Blue Genesis Holdings LLC is a Durable Medical Equipment & Medical Supplies in Dacula, Georgia. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2013 Weatherby Way Ct
Dacula, GA 30019-7769
Phone: (470) 435-9574
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Non-emergency Medical Transport (VAN) (primary) Taxonomy 343900000X
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X

Record details

NPI number1679126445
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Max Wiltz — Coo · (470) 435-9574
NPI enumeratedJuly 22, 2019
Last updated in NPPESJuly 22, 2019
Mailing address2013 Weatherby Way Ct, Dacula, GA 30019-7769

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