Wound Pros Georgia

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

WOUND PROS GEORGIA

Practice address

2045 Peachtree Rd
Ste 410
Atlanta, GA 30309-1408

Phone

(818) 836-2475

Fax

(323) 433-9177

NPI assigned

Jun 8, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Christopher Otiko, DPMNPI 1346223997

Title

President

Phone

(818) 836-2475

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Christopher Ayodele Otiko, DPM

  • Podiatrist
  • Reseda, CA
  • NPI 1346223997
  NPD (past) Authorized official

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

{
    "created_epoch": "1591574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676505600000",
    "number": "1104440981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901 W CENTURY BLVD STE 750",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455443",
            "telephone_number": "323-480-4075",
            "fax_number": "323-433-9177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2045 PEACHTREE RD",
            "address_2": "STE 410",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091408",
            "telephone_number": "818-836-2475",
            "fax_number": "323-433-9177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOUND PROS GEORGIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-08",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A",
        "authorized_official_last_name": "OTIKO",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-836-2475",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charlita Chea Worthy, MD
• Jakini Worthy, RBT
• Kelsi Worthy, PHARMD
• Gordon Wotton, MD
• Wound Masters, Inc.
• Woundcare2U, LLC
• Wraparound Care Atlanta, Inc.
• Paige Wray-Chapman
• Danielle Nichole Wray, LCSW
• George W Wray III, M.D.

• General Practice Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• General Practice Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2023; 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.