GEORGIA OXYGEN PHARMACY (NPI# 1114042108) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114042108 |
| Entity Type | Organization |
| Organization Name | GEORGIA OXYGEN PHARMACY |
| Practice Address |
611 S Grant St Fitzgerald GA 31750-3315 |
| Mailing Address |
Po Box 750 Fitzgerald GA 31750-0750 |
| Practice Telephone | 2294240018 |
| Mailing Telephone | 2294240018 |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2008-03-12 |
| Authorized Official Name | ED HILL (OWNER) |
| Authorized Official Telephone | 2294237809 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | PHRE008222 | GA | Suppliers |
| Y | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | PHARMACY LICENSE | PHRE008222 | 01 |
| GA | 00838219B | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306961453 | Georgia Oxygen Pharmacy | Durable Medical Equipment & Medical Supplies | 1475 Highway 76, Ste 6, Chatsworth, GA 30705-7320 | 2007-03-20 |
| 1861517070 | Georgia Oxygen Pharmacy | Durable Medical Equipment & Medical Supplies | 401 Main St, Eastman, GA 31023-6245 | 2007-03-20 |
| 1891810933 | Georgia Oxygen Pharmacy | Durable Medical Equipment & Medical Supplies | 101 Riverstone Vis, Ste 103, Blue Ridge, GA 30513-6648 | 2007-03-20 |
| 1497870539 | Georgia Oxygen Pharmacy | Durable Medical Equipment & Medical Supplies | 9 Russell Dr, Ste 101, Ellijay, GA 30540-4001 | 2007-03-20 |
| Street Address |
611 S GRANT ST |
| City | FITZGERALD |
| State | GA |
| Zip Code | 31750-3315 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316000953 | Georgia Oxygen Home Health | Durable Medical Equipment & Medical Supplies | 611 S Grant St, Fitzgerald, GA 31750-3315 | 2006-12-18 |
| 1518582196 | Katy Bailey | Speech-Language Pathologist | 611 S Grant St, Fitzgerald, GA 31750-3377 | 2020-06-10 |
| 1316579865 | Allison Bonanni | Speech-Language Pathologist | 611 S Grant St, Fitzgerald, GA 31750-3377 | 2020-02-12 |
| 1366967721 | Christina Marie Cooper | Speech-Language Pathologist | 611 S Grant St, Fitzgerald, GA 31750-3377 | 2017-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427662741 | Rural Urgent Care LLC | Clinic/Center | 125 Benjamin H Hill Dr. Sw, Fitzgerald, GA 31750 | 2020-09-03 |
| 1730604943 | Karen Denise Charles | Rehabilitation Counselor | 410 South Sherman Street, Fitzgerald, GA 31750 | 2017-08-08 |
| 1457898249 | Walter Stone | Nurse Practitioner | 116 Norman Dorminy Dr, Ste 12, Dmc Physician Group LLC, Fitzgerald, GA 31750 | 2017-01-31 |
| 1013315605 | Tift County Hospital Authority | Family Medicine | 246 Ben Hill Drive, Fitzgerald, GA 31750 | 2014-12-12 |
| 1881940211 | We Care Transportation, LLC | Non-emergency Medical Transport (VAN) | 608 N Sherman St, Fitzgerald, GA 31750 | 2012-08-03 |
| 1922365501 | Shayla Curtis | Family Medicine | 613 S Grant St, Fitzgerald, GA 31750 | 2012-04-19 |
| 1134380520 | Winston C Ugbajah | Family Medicine | 116 Benjamin Hill Drive, Suite 12, Fitzgerald, GA 31750 | 2008-06-19 |
| 1306966791 | Larry E Forth O D P C | Optometrist | 708 S Grant St, Suite #18, Fitzgerald, GA 31750 | 2007-03-30 |
| 1740370691 | Thomas R Mann | Internal Medicine | 118 Norman Dorminy Drive, Fitzgerald, GA 31750 | 2006-10-13 |
| 1407865389 | Jude Ogho Okugbeni | Family Medicine | 407 West Pine, Fitzgerald, GA 31750 | 2006-08-07 |
| Find all providers in zip 31750 | ||||
| Taxonomy Code | 332BX2000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Oxygen Equipment & Supplies |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316000953 | Georgia Oxygen Home Health | Durable Medical Equipment & Medical Supplies | 611 S Grant St, Fitzgerald, GA 31750-3315 | 2006-12-18 |
| 1821090135 | Mrs Homecare, Inc. | Durable Medical Equipment & Medical Supplies | 104 Norman Dorminy Dr, Fitzgerald, GA 31750-8858 | 2005-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790382547 | At Home Medical, Inc. | Durable Medical Equipment & Medical Supplies | 1302 Lafayette Pkwy Ste D, Lagrange, GA 30241-2611 | 2020-10-05 |
| 1427679661 | T E A M Medical LLC | Durable Medical Equipment & Medical Supplies | 3771 Monticello St, Douglasville, GA 30135-7722 | 2020-04-28 |
| 1306483003 | Family Home Medical Equipment, LLC | Durable Medical Equipment & Medical Supplies | 2601 Parkwood Dr Ste D, Brunswick, GA 31520-4724 | 2019-12-02 |
| 1518519479 | Ogles Oxygen, LLC | Durable Medical Equipment & Medical Supplies | 5021 Mercer University Dr Ste D4, Macon, GA 31210-6226 | 2019-07-11 |
| 1306403639 | Trinity Healthcare of Winston-salem, Inc. | Durable Medical Equipment & Medical Supplies | 572 Peachtree Pkwy Ste 3, Cumming, GA 30041-5800 | 2019-05-22 |
| 1417416827 | Accucare Medical Equipment, LLC | Durable Medical Equipment & Medical Supplies | 1601 Fair Rd Ste 1200, Statesboro, GA 30458-0801 | 2019-03-15 |
| 1376009118 | Meadows Healthcare Alliance, Inc. | Durable Medical Equipment & Medical Supplies | 1525 Fair Rd Ste 105, Statesboro, GA 30458-6118 | 2019-02-18 |
| 1306301841 | Altamaha Dme, Inc | Durable Medical Equipment & Medical Supplies | 1557 Pooler Parkway, Suite 300, Pooler, GA 31322 | 2019-02-08 |
| 1750866174 | Envip Medical Supplies | Durable Medical Equipment & Medical Supplies | 130 Eagle Spring Ct Ste D, Stockbridge, GA 30281-7252 | 2018-10-02 |
| 1538645502 | Lawrence Medical Supplies | Durable Medical Equipment & Medical Supplies | 1581 Lester Rd Nw Ste B8, Conyers, GA 30012-3950 | 2018-07-12 |
| Find all providers with the same taxonomy | ||||
| City | FITZGERALD |
| Zip Code | 31750 |
Please comment or provide details below to improve the information on GEORGIA OXYGEN PHARMACY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.