ATLANTA PROSTHETICS & ORTHOTICS, INC. (NPI# 1790061034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790061034 |
| Entity Type | Organization |
| Organization Name | ATLANTA PROSTHETICS & ORTHOTICS, INC. |
| Practice Address |
1700 Hospital South Drive Suite 406 Austell GA 30106 |
| Mailing Address |
Po Box 650846 Dallas TX 75265-0846 |
| Practice Telephone | 6783989431 |
| Practice Fax Number | 7706720563 |
| Mailing Telephone | 4046180451 |
| Mailing Fax Number | 4046368884 |
| Enumeration Date | 2011-11-01 |
| Last Update Date | 2014-02-19 |
| Authorized Official Name | MS. SHERYL PRICE (DIRECTOR OF REIMBURSEMENT) |
| Authorized Official Telephone | 5034938288 |
| Is Organization Subpart | Y |
| Parent Organization Name | HANGER INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 335E00000X | Prosthetic/Orthotic Supplier | OCC002226 | GA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000812127A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073819256 | Atlanta Prosthetics & Orthotics, Inc. | Durable Medical Equipment & Medical Supplies | 812 South Park Street, Suite 2, Carrollton, GA 30117 | 2011-02-04 |
| 1427054386 | Atlanta Prosthetics & Orthotics, Inc. | Durable Medical Equipment & Medical Supplies | 59 Executive Park S, Suite 1300, Atlanta, GA 30329-2208 | 2005-06-24 |
| Street Address |
1700 HOSPITAL SOUTH DRIVE SUITE 406 |
| City | AUSTELL |
| State | GA |
| Zip Code | 30106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336132158 | Arun Chervu | Surgery | 1700 Hospital South Drive, Suite 502, Austell, GA 30106 | 2005-08-26 |
| 1700030624 | Kathy S Poodiack | Physician Assistant | 1700 Hospital South Drive, Suite 300, Austell, GA 30106-8116 | 2008-11-05 |
| 1558487579 | Shariq Sayeed | Surgery | 1700 Hospital South Drive, Suite 502, Austell, GA 30106-8159 | 2007-03-21 |
| 1700981099 | Lisa Anne Oakley | Internal Medicine | 1700 Hospital South Drive, Suite 402, Austell, GA 30106 | 2006-09-13 |
| 1235234527 | Mir Abid Husain | Internal Medicine | 1700 Hospital South Drive, Suite 402, Austell, GA 30106 | 2006-09-13 |
| 1144325432 | Joseph Anthony Havlik | Internal Medicine | 1700 Hospital South Drive, Suite 402, Austell, GA 30106 | 2006-09-13 |
| 1437164159 | Georgia Cancer Specialists I PC | Internal Medicine | 1700 Hospital South Drive, Suite 102, Austell, GA 30106-6810 | 2006-07-30 |
| 1982628590 | Concord Inc | Pharmacy | 1700 Hospital South Drive, Suite 101, Austell, GA 30001 | 2006-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073126231 | Courtney Lashune Dorsett | Nurse Practitioner | 1005 Cureton Drive, Austell, Austell, GA 30106 | 2020-08-27 |
| 1184240491 | Brian H Eves | Dietitian, Registered | 3972 Brantley Drive, Austell, GA 30106 | 2020-06-23 |
| 1669014486 | Jesse Mccoy | Registered Nurse | 3950 Austell Rd., Austell, GA 30106 | 2019-10-14 |
| 1427522820 | Envision Optics LLC | Optometrist | 1680 E West Connector, Austell, GA 30106 | 2019-01-18 |
| 1972042380 | Thomas Dental Group | Clinic/Center | 1133 East West Connector, Suite 120, Austell, GA 30106 | 2017-02-17 |
| 1245779792 | Colton Dental Group | Clinic/Center | 2495 East-west Connector, Ste 60, Austell, GA 30106 | 2017-02-16 |
| 1144691684 | Georgia Dental Professionals, PC | Dentist | 780 East West Connector Sw, Suite 108, Austell, GA 30106 | 2015-10-09 |
| 1285013714 | Ikeade Bello Alamu | Nurse Practitioner | 2870 Betula Drive, Austell, GA 30106 | 2015-05-29 |
| 1376922211 | Jessica Williams | Obstetrics & Gynecology | 1700 Hospital South Dr Ste 500, Austell, GA 30106 | 2015-05-26 |
| 1558799593 | Tonya Renee Baldwin | Speech-Language Pathologist | 4229 Brass Trl., Austell, GA 30106 | 2013-10-30 |
| Find all providers in zip 30106 | ||||
| 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 |
|---|---|---|---|---|
| 1265921183 | Vascular Surgical Associates, PC | Prosthetic/Orthotic Supplier | 1700 Hospital South Dr Ste 502, Austell, GA 30106-8159 | 2018-05-07 |
| 1255568697 | Level Four Orthotics & Prosthetics, Inc. | Prosthetic/Orthotic Supplier | 1810 Mulkey Rd Ste 202, Austell, GA 30106-1150 | 2009-06-12 |
| 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.