MEDICARE: NEXACARE MEDICAL GROUP LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1194616987
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEXACARE MEDICAL GROUP LLC

Provider Business Mailing Address
First Line	:	1870 THE EXCHANGE SE STE 220
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30339-2171
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1870 THE EXCHANGE SE STE 220
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30339-2171
Country	:	US
Telephone Number	:	800-829-5933
Fax Number	:

Authorized Official
Title or Position	:	OPERATIONS MANAGER
Name	:	FERMON L GRAYS
Credential	:
Telephone Number	:	800-829-5933

Provider Enumeration Date	:	07/10/2025
Last Update Date	:	07/10/2025

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Directions to “NEXACARE MEDICAL GROUP LLC ” Practice Location

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