Organization Active NPI

Central Orthotics, Inc.

  • Prosthetic/Orthotic Supplier
  • Thomasville, GA
National Provider Identifier
1124071105
Registry record updated Jan 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
CENTRAL ORTHOTICS, INC.
Practice address
221B Remington Ave
Thomasville, GA 31792-5576
Phone
(229) 228-1085
Fax
(229) 228-0049
NPI assigned
May 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2008

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

Authorized official

Name
Richard C. Williams Jr., C.P.O.
Title
President
Phone
(229) 228-1085

Specialties & licenses 1

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

Addresses

Primary practice location

221B Remington Ave
Thomasville, GA 31792-5576

Mailing address

221B Remington Ave
Thomasville, GA 31792-5577
Phone (229) 228-1085

Other identifiers 1

IdentifierTypeStateIssuer
000135913CMedicaidGA

National Provider Directory

National Provider Directory

Locations

427 Smith Ave
Thomasville, GA 31792

221 Remington Ave
Ste B
Thomasville, GA 31792
Phone (229) 228-1085

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200268800000",
    "number": "1124071105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221B REMINGTON AVE",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317925577",
            "telephone_number": "229-228-1085",
            "fax_number": "229-228-0049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221B REMINGTON AVE",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317925576",
            "telephone_number": "229-228-1085",
            "fax_number": "229-228-0049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL ORTHOTICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2008-01-14",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "229-228-1085",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "C.P.O."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000135913C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Thomasville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2008; 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.