NPIMap

Organization Active NPI

Choa Orthotics and Prosthetics

  • Rehabilitation Hospital Unit
  • Fayetteville, GA
National Provider Identifier
1023754801
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
Legal business name
CHOA ORTHOTICS AND PROSTHETICS
Practice address
1250 Highway 54 W Ste 200
Fayetteville, GA 30214-4540
Phone
(404) 785-1933
Fax
(404) 785-8806
NPI assigned
May 5, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Louetta Cody
Title
Manager, Provider Enrollment
Phone
(404) 785-7876

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X Primary

Addresses

Primary practice location

1250 Highway 54 W Ste 200
Fayetteville, GA 30214-4540

Mailing address

1575 Northeast Expy
Atlanta, GA 30329-2401
Phone (404) 785-7876

National Provider Directory

National Provider Directory
Tax ID family
Scottish Rite Childrens11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1651708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736985600000",
    "number": "1023754801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1575 NORTHEAST EXPY",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303292401",
            "telephone_number": "404-785-7876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 HIGHWAY 54 W STE 200",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302144540",
            "telephone_number": "404-785-1933",
            "fax_number": "404-785-8806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOA ORTHOTICS AND PROSTHETICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-05",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-10",
        "status": "A",
        "authorized_official_last_name": "CODY",
        "authorized_official_first_name": "LOUETTA",
        "authorized_official_title_or_position": "MANAGER, PROVIDER ENROLLMENT",
        "authorized_official_telephone_number": "404-785-7876"
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.