Beacon Respiratory Services of Georgia, Inc.
Organization Active NPI Oxygen Equipment & Supplies (DME) · Camden, SC
NPI 1124566716 · NPPES record last updated Oct 13, 2025
Key facts
- NPI
- 1124566716
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Oxygen Equipment & Supplies (DME) 332BX2000X
- Legal business name
- BEACON RESPIRATORY SERVICES OF GEORGIA, INC.
- Practice address
- 1023 W Dekalb St
Camden, SC 29020-4162 - Phone
- (803) 572-4391
- Fax
- (803) 701-9115
- NPI assigned
- Feb 3, 2017
- Organization subpart
- Yes
- Parent organization (as reported)
- AEROCARE HOLDINGS LLC
Authorized official
- Name
- Wendy Russalesi
- Title
- Cco
- Phone
- (484) 246-9499
Other NPIs with the same Medicare PAC ID 4
Corporate family (same tax ID) 4
Member of 2
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Beacon Respiratory Services of Geor |
Commodes, Urinals, Bedpans|Continuous Passive Motion (CPM) Devices|Blood Glucose Monitors/Supplies (Non-Mail Order)|Gastric Suction Pumps|Heat & Cold Applications|Hospital Beds (Electric)|Hospital Beds (Manual)|Infrared Heating Pads Systems and/or Supplies|External Infusion Pumps and/or Supplies|Ne… | Does not accept assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170706000811 | SC | DME Supplier - Medical Supply Company |
9335351030 | Practice locations: Camden, SC |
National Provider Directory
- Tax ID family
- Beacon Respiratory Services of Georgia Inc
- Part of
- Adapthealth West LLC
Locations
1023 W DeKalb St
Camden, SC 29020
Phone (803) 424-0064
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oxygen Equipment & Supplies (DME) | 332BX2000X | Yes |
Addresses
Primary practice location
1023 W Dekalb St
Camden, SC 29020-4162
Mailing address
555 E North LN Ste 5075
Conshohocken, PA 19428-2490
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DE3787 | Medicaid | SC |
Other names
- AeroCare
Other providers in Camden, SC
- Jonathan Banks
- Sierra Nacole Barnes
- Dedra Baskin
- Rami Yousef Saleem Batarseh
- Stephanie Baxley Batten
- Mindy Beale
- Murphy Belton
- Gregory William Berger
- Tarun Bhandari
- Bio-Medical Applications of South Carolina, Inc.
All providers in Camden, SC · Oxygen Equipment & Supplies (DME) in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 13, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.