MEDICARE: ATLANTA OXYGEN AND MEDICAL

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies
2	332BP3500X	Parenteral & Enteral Nutrition Supplies (DME)	GA
3	3336M0002X	Mail Order Pharmacy	GA
4	332BX2000X	Oxygen Equipment & Supplies (DME)	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	52012641	OTHER	GA	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1184656621
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ATLANTA OXYGEN AND MEDICAL

Provider Business Mailing Address
First Line	:	6595 ROSWELL RD NE STE G
Second Line	:	STE 228
City	:	ATLANTA
State	:	GA
Zip	:	30328-3152
Country	:	US
Telephone Number	:	404-355-4553
Fax Number	:	404-355-2447

Provider Business Practice Location Address
First Line	:	1746 DEFOOR AVE NW
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30318-7532
Country	:	US
Telephone Number	:	404-355-4553
Fax Number	:	404-355-2447

Authorized Official
Title or Position	:	PRESIDENT
Name	:	STEWART L GIBSON
Credential	:
Telephone Number	:	404-255-4553

Provider Enumeration Date	:	07/07/2006
Last Update Date	:	07/21/2022

Similar Medicare Providers

1063922946 — GP MEDICAL
Practice Location Address:

1746 DEFOOR AVE NW STE B
ATLANTA, GA
30318-7532

Practice Phone: 404-355-4553
Practice Fax: 404-355-2447

1225636939 — MADISON SMITH
Practice Location Address:

1726 DEFOOR AVE NW UNIT B
ATLANTA, GA
30318-7532

Practice Phone: 678-633-0015
Practice Fax:

1063189579 — ATLANTA OXYGEN & HOME MEDICAL EQUIPMENT LLC
Practice Location Address:

1746 DEFOOR AVE NW
ATLANTA, GA
30318-7532

Practice Phone: 404-355-4553
Practice Fax: 404-355-2447

1669791265 — MRS. MERISSA NESHUN ROYSTER FNP-BC
Practice Location Address:

4358 MINKSLIDE DR SW
ATLANTA, GA
30331-7532

Practice Phone: 404-387-9292
Practice Fax:

1437945540 — MS. NICHELLE C BROWN MBA, CDP, RBT
Practice Location Address:

5857 SEABRIGHT LN
ATLANTA, GA
30349-7532

Practice Phone: 678-665-1803
Practice Fax: 678-665-1803

1366379588 — CONTINUUM CARE COLLECTIVE LLC
Practice Location Address:

1055 HOWELL MILL RD NW STE 8062
ATLANTA, GA
30318-5557

Practice Phone: 678-459-7643
Practice Fax:

Directions to “ATLANTA OXYGEN AND MEDICAL ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.