Organization Active NPI

Procrown Prosthetics

  • Prosthetic/Orthotic Supplier
  • Atlanta, GA
National Provider Identifier
1073469326
Registry record updated Mar 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
PROCROWN PROSTHETICS
Practice address
3405 Sandalwood Dr
Atlanta, GA 30350-2333
Phone
(484) 844-9776
NPI assigned
Mar 9, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2026

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

Authorized official

Name
Jere JonesNPI 1790631968
Title
Ceo
Phone
(484) 844-9776

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

3405 Sandalwood Dr
Atlanta, GA 30350-2333

Mailing address

4401 Shallowford Rd Ste 166
Roswell, GA 30075-3180
Phone (484) 844-9776

National Provider Directory

National Provider Directory

Locations

4401 Shallowford Rd
Ste 166
Roswell, GA 30075

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1773014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773014400000",
    "number": "1073469326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 SHALLOWFORD RD STE 166",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300753180",
            "telephone_number": "484-844-9776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3405 SANDALWOOD DR",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303502333",
            "telephone_number": "484-844-9776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROCROWN PROSTHETICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-09",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-09",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "JERE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "484-844-9776"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2026; 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.