Active NPI
Procrown Prosthetics
- Prosthetic/Orthotic Supplier
- Atlanta, GA
National Provider Identifier
1073469326
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jere Jones
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Behavior Technician
- Alpharetta, GA
- NPI 1790631968
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
- Pro-Medical Center LLC
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- Proactive Management Consulting, LLC
- Proactive Medical Training Center Inc
- Procare Pharmacy, LLC
- Charles Daniel Procter Jr., MD
- Kaitlin Baker Proctor, PHD
- Keishaun Saschier Proctor, M.D.
- Kennedi Proctor, RBT
- Prodigy Therapeutic Solutions LLC
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.