1. Home
  2. Directory
  3. Georgia
  4. Tifton
  5. Durable Medical Equipment Medical Supplies
  6. NPI Profile

SOUTHERN HOME MEDICAL LLC
NPI 1598037632
Durable Medical Equipment & Medical Supplies - Oxygen Equipment & Supplies in Tifton, GA

Active since February 06, 2012
72 KENT RD, SUITE 6, TIFTON, GA 31794(229) 396-5501(229) 396-5503 Get Directions Write a Review

NPPES record last updated: August 17, 2012. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Southern Home Medical Llc NPPES

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

SOUTHERN HOME MEDICAL LLC (NPI 1598037632) is a healthcare organization registered as an oxygen equipment & supplies in Tifton, Georgia and active in the NPI registry since February 2012. The organization lists Michael Raymond Connell, Owner, as its authorized official.

NPPES Registry Identity

NPI1598037632
Entity TypeOrganization
Primary Taxonomy332BX2000X
Legal Business NameSOUTHERN HOME MEDICAL LLC
Location Address72 KENT RD, SUITE 6Tifton, GA 31794-1694
Mailing Address72 Kent Rd, Suite 6Tifton, GA 31794-1694 · (229) 396-5501 · Fax (229) 396-5503
Phone(229) 396-5501
Fax(229) 396-5503
Organization SubpartNo
Authorized OfficialMichael Raymond ConnellOwner · (229) 392-0194
Enumeration DateFebruary 6, 2012
Last NPPES UpdateAugust 17, 2012
✔ NPI 1598037632 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical Supplies · Oxygen Equipment & SuppliesSuppliers
Taxonomy Code332BX2000X
72 KENT RD, Tifton, GA 31794
Open in Google Maps ↗

Other Identifiers 1

Medicare NSC6694060001GA

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Southern Home Medical Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateGeorgiaEnrollment IDO20120804000141DME · Medical Supply CompanyDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMEDISYS GEORGIA, L.L.C.
Home Health
72 KENT RD, STE 3
TIFTON, GA 31794
Tift County (229) 386-0665
IRWIN COUNTY HOSPITAL
Obstetrics & Gynecology
72 KENT RD
TIFTON, GA 31794
Tift County (229) 396-5873

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 Home Medical LLC's NPI number?

The NPI number for Southern Home Medical LLC is 1598037632. It was assigned to this organization in the NPPES registry on February 6, 2012.

Where is Southern Home Medical LLC located?

Southern Home Medical LLC is located at 72 Kent Rd Suite 6, Tifton, GA 31794. The listed phone number is (229) 396-5501.

What is Southern Home Medical LLC's specialty?

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

Is Southern Home Medical LLC enrolled in Medicare?

Yes. Southern Home Medical LLC is registered in the Medicare PECOS enrollment system.

When is Southern Home Medical LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Georgia, Medical Supply Company) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

What insurance does Southern Home Medical LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Southern Home Medical LLC 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 Home Medical LLC was last updated on August 17, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.