NPIMap

Organization Active NPI

Georgia Oxygen Pharmacy

  • Oxygen Equipment & Supplies (DME)
  • Chatsworth, GA
National Provider Identifier
1306961453
Registry record updated Feb 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
Legal business name
GEORGIA OXYGEN PHARMACY
Practice address
1475 Highway 76
Ste 6
Chatsworth, GA 30705-7320
Phone
(706) 517-6439
NPI assigned
Mar 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2008

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

Authorized official

Name
Ed Hill
Title
Owner
Phone
(229) 423-7809

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X Primary

Addresses

Primary practice location

1475 Highway 76
Ste 6
Chatsworth, GA 30705-7320

Mailing address

611 S Grant St
Fitzgerald, GA 31750-3315
Phone (229) 424-0018

Other identifiers 1

IdentifierTypeStateIssuer
00923348BMedicaidGA

National Provider Directory

National Provider Directory
Tax ID family
Georgia Oxygen Pharmacy4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204156800000",
    "number": "1306961453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 S GRANT ST",
            "city": "FITZGERALD",
            "state": "GA",
            "postal_code": "317503315",
            "telephone_number": "229-424-0018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1475 HIGHWAY 76",
            "address_2": "STE 6",
            "city": "CHATSWORTH",
            "state": "GA",
            "postal_code": "307057320",
            "telephone_number": "706-517-6439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA OXYGEN PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2008-02-28",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "ED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "229-423-7809"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00923348B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chatsworth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2008; 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.