Healthcare Provider Details

I. General information

NPI: 1548177603
Provider Name (Legal Business Name): MEDINEST LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 08/25/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2180 SATELLITE BLVD STE 400
DULUTH GA
30097-4927
US

IV. Provider business mailing address

2180 SATELLITE BLVD STE 400
DULUTH GA
30097-4927
US

V. Phone/Fax

Practice location:
  • Phone: 404-853-8931
  • Fax: 404-853-8776
Mailing address:
  • Phone: 404-853-8931
  • Fax: 404-853-8776

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. DEMONE THOMAS WEBB
Title or Position: MANAGING MEMBER
Credential: MBA
Phone: 404-853-8931