Organization Active NPI

Atlanta Oxygen & Home Medical Equipment LLC

  • Durable Medical Equipment & Medical Supplies
  • Atlanta, GA
National Provider Identifier
1063189579
Registry record updated Aug 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ATLANTA OXYGEN & HOME MEDICAL EQUIPMENT LLC
Practice address
1746 Defoor Ave NW
Atlanta, GA 30318-7532
Phone
(404) 355-4553
Fax
(404) 355-2447
NPI assigned
Aug 24, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Stewart L Gibson
Title
Member
Phone
(404) 255-4553

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

1746 Defoor Ave NW
Atlanta, GA 30318-7532

Mailing address

6595G Roswell Rd Ste 228
Atlanta, GA 30328-3101
Phone (404) 355-4553

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210910000887 GA DME Supplier - Oxygen & EquipmentDME Supplier - Medical Supply Company 0840696258 Practice locations: Atlanta, GA

National Provider Directory

National Provider Directory
Tax ID family
Atlanta Oxygen Home Medical Equipment LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1746 Defoor Ave NW
Atlanta, GA 30318
Phone (404) 355-4553

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1629763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629763200000",
    "number": "1063189579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6595G ROSWELL RD STE 228",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303283101",
            "telephone_number": "404-355-4553",
            "fax_number": "404-355-2447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1746 DEFOOR AVE NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303187532",
            "telephone_number": "404-355-4553",
            "fax_number": "404-355-2447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTA OXYGEN & HOME MEDICAL EQUIPMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-24",
        "last_updated": "2021-08-24",
        "certification_date": "2021-08-24",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "STEWART",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "404-255-4553"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.