MR. RUSSELL DAVID HOLCOMB (NPI# 1477610475) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477610475 |
| Entity Type | Individual |
| Full Name | MR. RUSSELL DAVID HOLCOMB |
| Credential | LCPO |
| Practice Address |
95 Hickory Springs Ind Dr Canton GA 30115-7933 |
| Mailing Address |
95 Hickory Springs Industrial Dr Canton GA 30115-7933 |
| Practice Telephone | 7703456899 |
| Practice Fax Number | 7703457341 |
| Mailing Telephone | 7703456899 |
| Mailing Fax Number | 7703457341 |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 222Z00000X | Orthotist | 003 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| X | 224P00000X | Prosthetist | 003 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 7700620 | 05 |
| Street Address |
95 HICKORY SPRINGS IND DR |
| City | CANTON |
| State | GA |
| Zip Code | 30115-7933 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730246653 | United Artificial Limb | Durable Medical Equipment & Medical Supplies | 95 Hickory Springs Ind Dr, Canton, GA 30115-7933 | 2007-01-02 |
| 1770640633 | Aubrey Smith | Orthotist | 95 Hickory Springs Ind Dr, Canton, GA 30115-7933 | 2007-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497364806 | Amanda Arbogast | Speech-Language Pathologist | 610 Royal Crest Court, Canton, GA 30115 | 2020-07-31 |
| 1033754163 | Kelly Marie Shirley | Nurse Practitioner | 450 Northside Cherokee Blvd., Radiology Dept., Canton, GA 30115 | 2019-11-13 |
| 1700394319 | Jennifer Lynn Davenport | Nurse Practitioner | 684 Sixes Rd Ste 125, Holly Springs, GA 30115 | 2018-01-17 |
| 1851717961 | Wal-mart Stores East, Lp | Technician/Technologist | 2200 Holly Springs Pkey, Holly Springs, GA 30115 | 2014-03-13 |
| 1194148502 | Julia Bedingfield Reid | Pharmacist | 450 Northside Cherokee Blvd Ste T20, Canton, GA 30115 | 2014-01-22 |
| 1447597992 | America's Best Contacts & Eyeglasses | Technician/Technologist | 2030 Cumming Highway, Suite 106, Canton, GA 30115 | 2013-01-03 |
| 1679821193 | Jill M Decorso | Speech-Language Pathologist | 4280 Hickory Flat Hwy, Ste 108, Canton, GA 30115 | 2012-08-15 |
| 1306113378 | Sidney Boyd Collier IIi | Pharmacist | 6111 Hickory Flat Highway, Canton, GA 30115 | 2011-11-18 |
| 1174804702 | Rayllensons Itacy | Physician Assistant | 2020 Cumming Highway, Suite 102, Canton, GA 30115 | 2011-09-09 |
| 1245534346 | Kim M. Mcmillan | Counselor | 154 Lakeside Drive, Canton, GA 30115 | 2011-01-04 |
| Find all providers in zip 30115 | ||||
| Taxonomy Code | 222Z00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Orthotist |
| A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists 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 |
|---|---|---|---|---|
| 1497096929 | Jacqueline Lambert | Orthotist | 4663 Whipple Ave Nw, Canton, OH 44718-2615 | 2013-03-07 |
| 1770640633 | Aubrey Smith | Orthotist | 95 Hickory Springs Ind Dr, Canton, GA 30115-7933 | 2007-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700412517 | Delana Finney | Orthotist | Vamc - Atlanta, 1670 Clairmont Rd, Decatur, GA 30033 | 2020-03-13 |
| 1265938716 | James Maurice Barnes | Orthotist | 6355 Peachtree Dunwoody Rd Apt 309, Sandy Springs, GA 30328-4627 | 2018-04-03 |
| 1023543246 | Eric Chen | Orthotist | 61 Whitcher St Ne Ste 2120, Marietta, GA 30060-1180 | 2017-04-25 |
| 1336572403 | Edward Gurin | Orthotist | 10985 Chandon Way, Johns Creek, GA 30097-7859 | 2013-08-13 |
| 1528308319 | Susan Grogan Semmes | Orthotist | 404 Northside Dr, Ste D, Valdosta, GA 31602-1866 | 2013-02-15 |
| 1235437187 | Kimberly Kathleen Hill | Orthotist | 598 Sweetfern Ln, Sugar Hill, GA 30518-7613 | 2011-03-02 |
| 1528216892 | Milton Renard Reed | Orthotist | 1810 Mulkey Rd Ste 202, Austell, GA 30106-1150 | 2008-08-28 |
| 1659533446 | Alphonso Bryant | Orthotist | 182 Riley Ave, Ste. B, Macon, GA 31204-0771 | 2008-07-02 |
| 1417127432 | Jacob Eric Bentley | Orthotist | 127 Enterprise Path, Ste 403, Hiram, GA 30141-2697 | 2008-03-05 |
| 1629251491 | Benjamin Valer Valena | Orthotist | 3783 Presidential Pkwy, Ste 112, Atlanta, GA 30340-3709 | 2007-12-14 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MR. RUSSELL DAVID HOLCOMB.
| 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.