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

Premium Medical Supply LLC

Organization Durable Medical Equipment & Medical Supplies · NPI 1164915427

Premium Medical Supply LLC is a Durable Medical Equipment & Medical Supplies in Decatur, Georgia. Registered with an NPI since 2018.

In the registry since
2018
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

3011 Rainbow Dr Ste 303
Decatur, GA 30034-1681
Phone: (404) 448-4577
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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 number1164915427
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Keyanna Willis — President · (404) 448-4577
NPI enumeratedJune 12, 2018
Last updated in NPPESDecember 5, 2018
Mailing address3011 Rainbow Dr Ste 303, Decatur, GA 30034-1681

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