Healthcare Provider Details

I. General information

NPI: 1265231351
Provider Name (Legal Business Name): CPAP SERVICES OF GEORGIA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/11/2025
Last Update Date: 09/17/2025
Certification Date: 09/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

612 TEBEAU ST
WAYCROSS GA
31501-4728
US

IV. Provider business mailing address

612 TEBEAU ST
WAYCROSS GA
31501-4728
US

V. Phone/Fax

Practice location:
  • Phone: 912-514-3831
  • Fax: 912-514-3832
Mailing address:
  • Phone: 912-514-3831
  • Fax: 912-514-3832

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: MILTON ALBERT THOMAS JR.
Title or Position: PRESIDENT
Credential:
Phone: 912-514-3831