OrganizationActive
Durable Medical Equipment, Inc
NPI 1720047095 · Oxygen Equipment & Supplies (DME) · Lagrange, GA
Provider details
- NPI number
- 1720047095
- Entity type
- Organization
- Primary specialty
- Oxygen Equipment & Supplies (DME)Suppliers
- Organization subpart
- No
- Authorized official
- Thomas Beckham, Executive Vice President(706) 882-2661
- License
- C19509
Specialties & taxonomies
Suppliers
Suppliers
Suppliers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
100 Mooty Bridge Rd
Lagrange, GA 30240-1806
Phone: (706) 882-2661
Fax: (706) 882-2251
Street-level locationGet directions
Mailing address
100 Mooty Bridge Rd
Lagrange, GA 30240-1806
Other names (DBA / former)
- Doing business as
- Lagrange Healthcare
Registry dates
- Enumerated
- 2006-03-23
- Last updated
- 2009-10-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.