PROSTHETIC CARE OF ANDERSON, LLC (NPI# 1750679064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750679064 |
| Entity Type | Organization |
| Organization Name | PROSTHETIC CARE OF ANDERSON, LLC |
| Practice Address |
615 Cook St Royston GA 30662-3933 |
| Mailing Address |
18022 Cowan Suite 285 Irvine CA 92614-6806 |
| Practice Telephone | 7062456212 |
| Practice Fax Number | 7062456262 |
| Mailing Telephone | 9498631951 |
| Mailing Fax Number | 9498631419 |
| Enumeration Date | 2011-07-20 |
| Last Update Date | 2011-07-20 |
| Authorized Official Name | MR. MICHAEL E HAMONTREE (CEO) |
| Authorized Official Telephone | 9498631951 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | 90 | GA | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821291840 | Prosthetic Care of Anderson, LLC | Durable Medical Equipment & Medical Supplies | 12b Boardwalk Pl, The Commons, Seneca, SC 29678-2671 | 2007-06-07 |
| Street Address |
615 COOK ST |
| City | ROYSTON |
| State | GA |
| Zip Code | 30662-3933 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578736237 | Beverly J Oxley, Phd PC | Psychologist | 615 Cook St, Royston, GA 30662-3933 | 2008-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073053963 | Crystal Roach | Occupational Therapist | 874 Halley Rd., Royston, GA 30662 | 2017-02-27 |
| 1477965358 | Community Care Pharmacy of Royston | Pharmacy | 635 Cook Street, Royston, GA 30662 | 2014-05-27 |
| 1407919731 | Abby H Bedichek | Occupational Therapist | 613 Cook Street, Royston, GA 30662 | 2006-12-18 |
| 1215005053 | Julian Douglas Sharpton | Family Medicine | 891 Church Street, Royston, GA 30662 | 2006-12-01 |
| 1043306509 | Diane Veronica Lewis | Licensed Practical Nurse | 1025 Cromers Bridge Road, Royston, GA 30662 | 2006-10-04 |
| 1154351591 | Shalimar Sheree Crowe | Specialist/Technologist | 181 Spring St, Royston, GA 30662 | 2006-07-03 |
| 1497735328 | Laurie Martin-kiser | Nurse Practitioner | 819 Church Street, Royston, GA 30662 | 2006-01-18 |
| 1619034584 | Patricia Kieley Adkins | Psychologist | 613 Cook Street, Royston, GA 30662 | 2007-01-02 |
| 1487719688 | Robin Turner Vining | Speech-Language Pathologist | 613 Cook St, Royston, GA 30662 | 2006-12-27 |
| 1528175593 | Ty Cobb Healthcare System | Skilled Nursing Facility | 545 Cook Street, Royston, GA 30662-0589 | 2006-08-24 |
| Find all providers in zip 30662 | ||||
| Taxonomy Code | 335E00000X |
| Grouping | Suppliers |
| Classification | Prosthetic/Orthotic Supplier |
| An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. |
| 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 |
|---|---|---|---|---|
| 1548860810 | Crowns of Love Inc | Prosthetic/Orthotic Supplier | 707 Park Ave Ne Apt 1382, Atlanta, GA 30326-3410 | 2020-10-27 |
| 1447860150 | Shadae Renee Medical Wigs | Prosthetic/Orthotic Supplier | 10719 Alpharetta Hwy # 1792, Roswell, GA 30076-2432 | 2020-08-06 |
| 1114535432 | Beauty Zone2 Medical Wigs | Prosthetic/Orthotic Supplier | 252 Keys Ferry St, Mcdonough, GA 30253-3342 | 2020-07-22 |
| 1619594389 | Legally Laced | Prosthetic/Orthotic Supplier | 1000 Corporate Pointe Ste 214, Warner Robins, GA 31088-3440 | 2020-06-29 |
| 1093332009 | Jazzy Wigs, Rx | Prosthetic/Orthotic Supplier | 59 Urey Emerson Dr, Richland, GA 31825-6636 | 2020-06-25 |
| 1174147938 | Salon Asya Mignon LLC | Prosthetic/Orthotic Supplier | 4290 Memorial Dr Ste B1, Decatur, GA 30032-1225 | 2020-06-07 |
| 1023630928 | Michelles Beauty Bar | Prosthetic/Orthotic Supplier | 3662 Druid Oaks Dr, Valdosta, GA 31605-6542 | 2020-05-13 |
| 1366063596 | Stylish Styles By Tee | Prosthetic/Orthotic Supplier | 6595 Roswell Rd Ste G1169, Atlanta, GA 30328-3152 | 2020-04-28 |
| 1518503432 | Regina Murff-love | Prosthetic/Orthotic Supplier | 341 Indus Ln, Lawrenceville, GA 30044-3835 | 2019-11-26 |
| 1417508995 | Priscilla Denise Brown | Prosthetic/Orthotic Supplier | 38200 3rd Ave, Fort Gordon, GA 30905 | 2019-09-25 |
| 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.