Active NPI
Atlanta Oxygen & Home Medical Equipment LLC
- Durable Medical Equipment & Medical Supplies
- Atlanta, GA
National Provider Identifier
1063189579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210910000887 | GA | DME Supplier - Oxygen & Equipment | 0840696258 | Practice locations: Atlanta, GA |
National Provider Directory
National Provider Directory- Tax ID family
- Atlanta Oxygen Home Medical Equipment LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Oxygen Equipment & Supplies (DME)
- Atlanta, GA
- NPI 1184656621
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
- Atlanta Oncology Associates at Atlanta Medical Center
- Atlanta Oncology Associates, PC
- Atlanta Ophthalmology Associates PC
- Atlanta Orthopaedic Foot & Ankle Institute
- Atlanta Orthopaedic Surgery Center, LLC
- Atlanta Oxygen and Medical
- Atlanta Pain and Spine LLC
- Atlanta Pain Rehabilitation Management, LLC (atlanta pain rehabilitation)
- Atlanta Pathology PA (Atlanta Pathology Hospital Services)
- Atlanta Pathology PA
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.