GEORGIA PROSTHETICS, INC. (NPI# 1407810880) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407810880 |
| Entity Type | Organization |
| Organization Name | GEORGIA PROSTHETICS, INC. |
| Practice Address |
1947 Briarwood Ct, Ne Atlanta GA 30329-2006 |
| Practice Telephone | 4048733725 |
| Practice Fax Number | 4048733724 |
| Mailing Telephone | 4048733725 |
| Mailing Fax Number | 4048733724 |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2008-10-15 |
| Authorized Official Name | MR. DANIEL JOSEPH ZENAS (OWNER PRESIDENT) |
| Authorized Official Telephone | 4048733725 |
| Authorized Official Credential | C.P., LP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224P00000X | Prosthetist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00040884A | 05 |
| Street Address |
1947 BRIARWOOD CT, NE |
| City | ATLANTA |
| State | GA |
| Zip Code | 30329-2006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871084111 | Inner Peace Counseling Services,llc | Counselor | 2801 Bufford Highway, Suite T-10, Atlanta, GA 30329 | 2018-05-22 |
| 1912409392 | Joie De Vivre Counseling and Therapy | Counselor | 2801 Buford Highway, Ne, Atlanta, GA 30329 | 2018-03-01 |
| 1902329105 | Barbara Dunbar | Psychologist | 1777 Northeast Expressway, #175, Atlanta, GA 30329 | 2017-07-19 |
| 1114449048 | Cricket Cheyenne Gullickson | Student in an Organized Health Care Education/Training Program | 1371 Briarvista Way Ne, Atlanta, GA 30329 | 2017-07-12 |
| 1902357866 | Carla Zimmerly | Nurse Practitioner | 1711 Tullie Circle, Atlanta, GA 30329 | 2016-10-17 |
| 1316490808 | Shahzad Ghori | Student in an Organized Health Care Education/Training Program | 1727 Druid Oaks Ne, Atlanta, GA 30329 | 2016-08-01 |
| 1023467768 | Ashley Elliott | Physician Assistant | 59 Executive Park, Atlanta, GA 30329 | 2016-06-03 |
| 1285096115 | Kimberley Fox | Internal Medicine | 1600 Clifton Rd Ne, Ms A-04, Cdc, Atlanta, GA 30329 | 2016-03-21 |
| 1275991648 | Mary Patricia Joyce | Internal Medicine | 1600 Clifton Road, E-47, Centers for Disease Control and Prevention, Atlanta, GA 30329 | 2016-02-01 |
| 1346656618 | Amelia Muniz Hernandez | Pediatrics | 1841 Clifton Rd Ne # 508, Atlanta, GA 30329 | 2014-07-08 |
| Find all providers in zip 30329 | ||||
| Taxonomy Code | 224P00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Prosthetist |
| A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326661208 | Jasmine Dixon | Prosthetist | 390 Auburn Ave Ne, Atlanta, GA 30312-1544 | 2020-05-26 |
| 1912545393 | Kanishia Gordon | Prosthetist | 519 Memorial Dr Se Ste 209, Atlanta, GA 30312-2286 | 2019-12-16 |
| 1790275337 | Angelique Crowder | Prosthetist | 375 Highland Ave Ne, Atlanta, GA 30312-1375 | 2018-05-17 |
| 1194221663 | Angela Slade | Prosthetist | 3645 Peachtree Rd Ne Apt 302, Atlanta, GA 30319-1275 | 2018-04-03 |
| 1073178893 | Salon Kairos LLC | Prosthetist | 1016 Howell Mill Rd Nw, Atlanta, GA 30318-5559 | 2019-05-07 |
| 1477875201 | Carolyn Denise Scott | Prosthetist | 577 Ralph Mcgill Blvd Ne, Atlanta, GA 30312-1110 | 2010-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477152239 | Zachary T Hughes | Prosthetist | 1050 Barber Creek Dr Ste 103, Watkinsville, GA 30677-4502 | 2020-10-22 |
| 1306460662 | Unique Creationz Rx | Prosthetist | 2500 Dallas Hwy Sw Ste 202-1082, Marietta, GA 30064-2567 | 2020-06-02 |
| 1205450954 | Monique D Gay | Prosthetist | 2651 Favor Rd Sw # 1g06, Marietta, GA 30060-5241 | 2020-05-28 |
| 1134743891 | Jazmyn Monet Griffith | Prosthetist | 1564 Herrington Rd Apt 6112, Lawrenceville, GA 30043-7956 | 2020-05-28 |
| 1659900702 | Shirleysia Jones | Prosthetist | 213 Paces Commons Dr, Duluth, GA 30096-1712 | 2020-04-01 |
| 1922642826 | Juanita F Mike | Prosthetist | 6409 Guinness Ct, Union City, GA 30291-1991 | 2019-11-04 |
| 1003463787 | Denise Ann Hill | Prosthetist | 4308 Caveat Ct, Fairburn, GA 30213-4328 | 2019-08-19 |
| 1588224091 | Natalie Bennett | Prosthetist | 2864 Carrousel Ct, Stone Mountain, GA 30087-3922 | 2019-06-17 |
| 1235797051 | Latasha Paulette Gibbs | Prosthetist | 4955 Sugarloaf Pkwy Ste F, Lawrenceville, GA 30044-6997 | 2019-06-05 |
| 1477116648 | Patrice Sims | Prosthetist | 2148 Duluth Hwy Ste 108, Duluth, GA 30097-4504 | 2019-04-15 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.