Alliance Prosthetics and Orthotics
Organization Active NPI Prosthetic/Orthotic Supplier · Gainesville, GA
NPI 1265089478 · NPPES record last updated Jan 4, 2022
Key facts
- NPI
- 1265089478
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Prosthetic/Orthotic Supplier 335E00000X
- Legal business name
- ALLIANCE PROSTHETICS AND ORTHOTICS
- Practice address
- 655 Jesse Jewell Pkwy SE Ste a
Gainesville, GA 30501-3854 - Phone
- (770) 679-3090
- NPI assigned
- Aug 22, 2019
- Organization subpart
- Yes
- Parent organization (as reported)
- ALLIANCE PROSTHETICS AND ORTHOTICS
Authorized official
- Name
- Jason R Auyer, CPO
- Title
- Owner
- Phone
- (678) 936-2386
Parent organization (reported in NPPES) 1
Other NPIs with the same Medicare PAC ID 1
Corporate family (same tax ID) 1
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Alliance Prosthetics and Orthotics |
Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom|Lymphedema Compression Treatment Items | Accepts assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20191014002969 | GA | DME Supplier - Prosthetic Personnel |
6901186113 | Practice locations: Gainesville, GA |
National Provider Directory
- Tax ID family
- Alliance Prosthetics and Orthotics
- Part of
- Alliance Prosthetics and Orthotics
Locations
1241 Friendship Rd
Ste 120
Braselton, GA 30517
Phone (770) 415-9792
655 Jesse Jewell Pkwy SE
Ste A
Gainesville, GA 30501
Phone (678) 450-9950
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | Yes |
Addresses
Primary practice location
655 Jesse Jewell Pkwy SE Ste a
Gainesville, GA 30501-3854
Mailing address
1241 Friendship Rd Ste 120
Braselton, GA 30517-5609
Phone (770) 679-3090
Other practice location 1
1235 Friendship Rd Ste 115
Braselton, GA 30517-5624
Phone (770) 679-3090 ext. 101
Other providers in Gainesville, GA
- Marc Allard-Ratick
- Charles Edward Allen
- Katherine S. Allen
- Allergy & Asthma Care Center, LLC
- Allergy & Asthma Clinic of Northeast Georgia
- Chelsea Lee Allison
- Allyn C Johnson Jr MDPC
- Ryan Anthony Almodovar
- Maria Irma Alvarado
- Jessica Leigh Alvarez
All providers in Gainesville, GA · Prosthetic/Orthotic Supplier in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 4, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.