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

Heavenly Medical Supply LLC

Organization Durable Medical Equipment & Medical Supplies · NPI 1235970435

Heavenly Medical Supply LLC is a Durable Medical Equipment & Medical Supplies in Jonesboro, Georgia. Registered with an NPI since 2024.

In the registry since
2024
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

122 N McDonough Street 100
Jonesboro, GA 30236
Phone: (470) 231-1597
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Durable Medical Equipment & Medical Supplies (primary) Taxonomy 332B00000X

Record details

NPI number1235970435
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Niketta Williams — Owner · (470) 231-1597
NPI enumeratedJune 3, 2024
Last updated in NPPESJune 3, 2024
Certification dateMay 29, 2024
Mailing address122 N McDonough Street, 100, Jonesboro, GA 30236

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