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SOUTHERN RESPIRATORY, INC
NPI 1306890876
Durable Medical Equipment & Medical Supplies - Oxygen Equipment & Supplies in Mount Dora, FL

Active since May 20, 2006CLIA 10D2060012 · Waiver
724 S ROSSITER ST, MOUNT DORA, FL 32757(352) 385-9116(352) 385-3729 Get Directions Write a Review

NPPES record last updated: September 23, 2013. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Southern Respiratory, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHERN RESPIRATORY, INC (NPI 1306890876) is a healthcare organization registered as an oxygen equipment & supplies in Mount Dora, Florida and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through June 4, 2027 and lists Hal Chestnut, President, as its authorized official.

NPPES Registry Identity

NPI1306890876
Entity TypeOrganization
Primary Taxonomy332BX2000X
Legal Business NameSOUTHERN RESPIRATORY, INC
Location Address724 S ROSSITER STMount Dora, FL 32757-6139
Mailing Address724 S Rossiter StMount Dora, FL 32757-6139 · (352) 385-9116 · Fax (352) 385-3729
Phone(352) 385-9116
Fax(352) 385-3729
Organization SubpartNo
Authorized OfficialHal ChestnutPresident · (352) 385-9116
Enumeration DateMay 20, 2006
Last NPPES UpdateSeptember 23, 2013
✔ NPI 1306890876 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDurable Medical Equipment & Medical Supplies · Oxygen Equipment & SuppliesSuppliers
Taxonomy Code332BX2000X
Also ListedClinical Medical LaboratoryTaxonomy 291U00000X · License 10D2060012 (FL)
724 S ROSSITER ST, Mount Dora, FL 32757
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Other Identifiers 3

OtherR9397FL · Blue Cross Blue Shield
Medicaid025848200FL
Medicare NSC4636030001FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2060012

Southern Respiratory · Mount Dora, FL
Active · expires Jun 4, 2027
CLIA Number10D2060012
Laboratory TypeRespiratory Services
Certificate Effective DateJune 5, 2025
Certificate Expiration DateJune 4, 2027
Laboratory DirectorMark L. Hicks
Laboratory Phone(352) 385-9116
Laboratory LocationSouthern Respiratory724 S Rossiter St, Mount Dora, FL 32757
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS 18

Medicare supplier enrollment and the product categories Southern Respiratory Inc carries, from the Medicare DMEPOS supplier directory.

Southern Respiratory Inc

DMEPOS supplier · Mt Dora, FL
⋮

Does not accept Medicare assignment

Southern Respiratory Inc has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20604287
Medicare Participant SinceOctober 7, 2002
Supplier Location724 S Rossiter StMt Dora, FL 32757
Phone(352) 385-9116
Provider TypeOxygen & Equipment
Supplier Specialties
Medical Supply Company Other MSC With Respiratory Therapist

Medicare Product Categories

Commodes, Urinals, Bedpans
Raised toilets, Drop-arm commodes, Folding commodes, Plastic urinals, Plastic bedpans, Disposable urinals
Hospital Beds (Electric)
Total electric hospital beds, Semi-electric hospital beds
Hospital Beds (Manual)
Fixed height hospital beds, Variable height hospital beds
Support Surfaces: Pressure Reducing Beds/Mats/Pads
Group 1 – Alternating pressure pad, Air/Water/Dry pressure pad or pressure mattress. Group 2 - Pressure reducing powered air mattresses, Powered air flotation bed, non-powered pressure reducing mattress Group 3 – Air fluidized bed
(TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies
Transcutaneous Electrical Nerve Stimulation (TENS) for the relief of acute post-operative pain
Patient Lifts
Ceiling lifts, Slings
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southern Respiratory, Inc's NPI number?

The NPI number for Southern Respiratory, Inc is 1306890876. It was assigned to this organization in the NPPES registry on May 20, 2006.

Where is Southern Respiratory, Inc located?

Southern Respiratory, Inc is located at 724 S Rossiter St, Mount Dora, FL 32757. The listed phone number is (352) 385-9116.

What is Southern Respiratory, Inc's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies, specializing in Oxygen Equipment & Supplies, with taxonomy code 332BX2000X.

Does Southern Respiratory, Inc accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Southern Respiratory Inc does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

Does Southern Respiratory, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2060012) is associated with this NPI, valid through June 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Southern Respiratory, Inc accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 8 other insurers list Southern Respiratory, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Southern Respiratory, Inc was last updated on September 23, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.