Plantation Developmental Partners LLC

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

Legal business name

PLANTATION DEVELOPMENTAL PARTNERS LLC

Doing business as

Georgia Oxygen Services

Practice address

112 Rowe St Ste D
Dublin, GA 31021-5266

Phone

(478) 272-4797

Fax

(478) 272-2271

NPI assigned

Mar 4, 2021

Last updated

Mar 4, 2021By the provider in NPPES

Organization subpart

Yes

Parent organization

PLANTATION DEVELOPMENTAL PARTNERS LLCAs reported in NPPES

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

Authorized official

Name

Ms. Brooke Attaway, DNP, FNP-C

Title

President

Phone

(478) 272-4797

Specialties & licenses 1

Addresses

Other names 1

• Georgia Oxygen Services Doing business as

Part of

Plantation Developmental Partners LLC Dba Georgia Oxygen Services

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

{
    "created_epoch": "1614816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614816000000",
    "number": "1104411842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 ROWE ST STE D",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310215266",
            "telephone_number": "478-272-4797",
            "fax_number": "478-272-2271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 ROWE ST STE D",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310215266",
            "telephone_number": "478-272-4797",
            "fax_number": "478-272-2271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLANTATION DEVELOPMENTAL PARTNERS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PLANTATION DEVELOPMENTAL PARTNERS LLC",
        "enumeration_date": "2021-03-04",
        "last_updated": "2021-03-04",
        "certification_date": "2021-03-04",
        "status": "A",
        "authorized_official_last_name": "ATTAWAY",
        "authorized_official_first_name": "BROOKE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "478-272-4797",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "DNP, FNP-C"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Georgia Oxygen Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shannon Pickett
• Terrance Pierce, OTR/L
• Jennifer Lee Pina
• Jorge B Pisarello, MD
• Ethel Lee Pittman, LPN
• Platinum Medical Staffing Services,LLC
• Michelle Plummer
• Timothy Allen Podesta, M.D.
• John L Polhill, MD
• Tracy Beck Pollock

• Oxygen Equipment & Supplies (DME) in Dublin, GA
• Providers in Dublin, GA by specialty
• Oxygen Equipment & Supplies (DME) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.