MEDICARE: CPAP EXPRESS, 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	:	1871360750
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CPAP EXPRESS, LLC

Provider Business Mailing Address
First Line	:	402B PARK AVE N
Second Line	:
City	:	TIFTON
State	:	GA
Zip	:	31794-4320
Country	:	US
Telephone Number	:	229-520-5709
Fax Number	:	229-520-5002

Provider Business Practice Location Address
First Line	:	1715 HOWELL MILL RD NW STE C20
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30318-3122
Country	:	US
Telephone Number	:	855-361-2727
Fax Number	:

Authorized Official
Title or Position	:	CHIEF OPERATING OFFICER
Name	:	JAMES WALL
Credential	:
Telephone Number	:	229-520-5709

Provider Enumeration Date	:	12/11/2023
Last Update Date	:	01/21/2026

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