NPIMap

Individual provider Active NPI

Patrick Sean Price, CPO

  • Prosthetics Case Management
  • Martinez, GA
National Provider Identifier
1194981282
Registry record updated Oct 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetics Case ManagementTaxonomy code 1744P3200X
License
46 Issued in GA
Practice address
4810 Technology Dr
Suite 4
Martinez, GA 30907-6800
Phone
(706) 922-5491
Fax
(706) 922-5494
NPI assigned
Jul 29, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2009

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetics Case Management 1744P3200X 46 GA Primary
Prosthetist 224P00000X 000046 GA
Orthotist 222Z00000X 000046 GA

Addresses

Primary practice location

4810 Technology Dr
Suite 4
Martinez, GA 30907-6800

Mailing address

4810 Technology Dr
Suite 4
Martinez, GA 30907-6800
Phone (706) 922-5491

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
46GAMDHematology & Oncology Physician
000046GAMDOrthotist

Practice roles

OrganizationSpecialtyStatusNew patients
Alameda Orthopedic Footcare Center Past Accepting new patients
Alameda Orthopedic Footcare Center Past Accepting new patients
New Life Prosthetics of Georgia Inc. Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1217289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255564800000",
    "number": "1194981282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4810 TECHNOLOGY DR",
            "address_2": "SUITE 4",
            "city": "MARTINEZ",
            "state": "GA",
            "postal_code": "309076800",
            "telephone_number": "706-922-5491",
            "fax_number": "706-922-5494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4810 TECHNOLOGY DR",
            "address_2": "SUITE 4",
            "city": "MARTINEZ",
            "state": "GA",
            "postal_code": "309076800",
            "telephone_number": "706-922-5491",
            "fax_number": "706-922-5494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRICE",
        "first_name": "PATRICK",
        "middle_name": "SEAN",
        "name_prefix": "Mr.",
        "credential": "CPO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-29",
        "last_updated": "2009-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "",
            "desc": "Specialist, Prosthetics Case Management",
            "state": "GA",
            "license": "46",
            "primary": true
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "GA",
            "license": "000046",
            "primary": false
        },
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": "GA",
            "license": "000046",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinez, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2009; 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.