GEORGIA CAROLINA ORTHOTIC CENTERS LLC (NPI# 1881258994) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881258994 |
| Entity Type | Organization |
| Organization Name | GEORGIA CAROLINA ORTHOTIC CENTERS LLC |
| Practice Address |
2301 Wrightsboro Rd Augusta GA 30904-6219 |
| Practice Telephone | 7064963911 |
| Practice Fax Number | 7064962148 |
| Mailing Telephone | 7064963911 |
| Mailing Fax Number | 7064962148 |
| Enumeration Date | 2019-04-24 |
| Last Update Date | 2019-04-24 |
| Authorized Official Name | ALLEN D WILLIAMS (OWNER) |
| Authorized Official Telephone | 7064963911 |
| Authorized Official Credential | CO, LO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 003210294A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821577248 | Georgia Carolina Orthotic Centers LLC | Orthotist | 2301 Wrightsboro Rd, Augusta, GA 30904-6219 | 2018-08-07 |
| Street Address |
2301 WRIGHTSBORO RD |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30904-6219 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104849215 | Larry E Daniels | Psychologist | 2301 Wrightsboro Rd, Augusta, GA 30904-6219 | 2006-07-26 |
| 1821577248 | Georgia Carolina Orthotic Centers LLC | Orthotist | 2301 Wrightsboro Rd, Augusta, GA 30904-6219 | 2018-08-07 |
| 1124541610 | Allen Williams | Orthotist | 2301 Wrightsboro Rd, Augusta, GA 30904 | 2017-07-17 |
| 1407041858 | Solursh Psychological Services | Psychologist | 2301 Wrightsboro Rd, Augusta, GA 30904-6219 | 2007-09-10 |
| 1306993795 | John C Mccormack Phd PC | Psychologist | 2301 Wrightsboro Rd, Augusta, GA 30904-6219 | 2007-01-05 |
| 1801981527 | Jill P Hauenstein | Psychiatry & Neurology | 2301 Wrightsboro Rd, Augusta, GA 30904-6219 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518423706 | Lawren Murray Tachias | Registered Nurse | 950 15th Street Downtown, Augusta, GA 30904 | 2019-02-13 |
| 1457851842 | Heba Ahmed | Pharmacist | 912 15th Street, Augusta, GA 30904 | 2018-02-13 |
| 1124552690 | Jenny Liles | Student in an Organized Health Care Education/Training Program | 1004 Chafee Ave, Augusta, GA 30904 | 2017-04-11 |
| 1932640836 | Claudia Crawford | Student in an Organized Health Care Education/Training Program | 2624 Oakland Ave., Augusta, GA 30904 | 2017-03-13 |
| 1801240528 | F. Marion Durst IIi Dmd PC | Clinic/Center | 2325 Washington Road, Augusta, GA 30904 | 2016-04-19 |
| 1689031296 | Teresa Maria Martin | Counselor | 1e-148, Charlie Norwood Vamc One Freedom Way, Augusta, GA 30904 | 2016-01-27 |
| 1598122269 | Jillian Wilkerson | Counselor | Charlie Norwood Veteran Affairs One Freedom Way, Substance Use Recovery Clinic, Augusta, GA 30904 | 2016-01-26 |
| 1760855241 | Chase King | Occupational Therapist | 1735 Berkeley Rd, Augusta, GA 30904 | 2015-11-05 |
| 1962832246 | April Underwood Fox | Physician Assistant | 1417 Pendleton Rd, Augusta, GA 30904 | 2013-11-22 |
| 1861734378 | John Graham Theisen | Obstetrics & Gynecology | 810 Chafee Avenue, Augusta, GA 30904 | 2013-03-22 |
| Find all providers in zip 30904 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588094270 | Maguire Therapy Services, Inc | Clinic/Center | 720 Riverfront Dr, Augusta, GA 30901-1969 | 2013-11-18 |
| 1104141555 | Harrisburg Family Health Care, Inc. | Clinic/Center | 423 Crawford Ave, Augusta, GA 30904-3641 | 2010-03-29 |
| 1033364823 | Reba Brown Inc | Clinic/Center | 114 Pleasant Home Rd Ste A, Augusta, GA 30907-3518 | 2008-11-21 |
| 1285151779 | Augusta Acupuncture Clinic, Inc | Clinic/Center | 4141 Columbia Rd Ste B, Augusta, GA 30907-5403 | 2017-08-24 |
| 1487971230 | Kids First Pediatric Group of Augusta,p.c | Clinic/Center | 1215 George C.wilson Ct., Suite B1, Augusta, GA 30909-5704 | 2010-05-03 |
| 1376788406 | Central Avenue Chiropractic Clinic | Clinic/Center | 1914 Central Ave, Augusta, GA 30904-4126 | 2008-12-03 |
| 1477712115 | Georgia Gastroenterology LLC | Clinic/Center | 1701 Magnolia Way, Suite 201, Augusta, GA 30909-9483 | 2008-06-07 |
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| 1558981985 | Elite Mens' Health, LLC | Clinic/Center | 3361 Nottinghill Ln, Valdosta, GA 31605-5874 | 2020-04-27 |
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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.