South Ga Orthopedic Resources Inc

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

SOUTH GA ORTHOPEDIC RESOURCES INC

Practice address

1825 Old Ocilla Rd
Tifton, GA 31794-1617

Phone

(229) 386-9829

Fax

(229) 386-9830

NPI assigned

Dec 6, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Jeffery Dean Parson, CO

Title

Owner, Orthotist

Phone

(229) 386-9829

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• South Ga Orthopedic Resources Inc

  • Prosthetic/Orthotic Supplier
  • Gainesville, GA
  • NPI 1780094987

  3173725488

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

South Gaorthopedic Resources2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• South Ga Orthopedic Resources Inc

  • Prosthetic/Orthotic Supplier
  • Gainesville, GA
  • NPI 1780094987
  NPD tax ID

Locations

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

{
    "created_epoch": "1196899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719273600000",
    "number": "1295918712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 OLD OCILLA RD",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "317941617",
            "telephone_number": "229-386-9829",
            "fax_number": "229-386-9830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 OLD OCILLA RD",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "317941617",
            "telephone_number": "229-386-9829",
            "fax_number": "229-386-9830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH GA ORTHOPEDIC RESOURCES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-06",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A",
        "authorized_official_last_name": "PARSON",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "OWNER, ORTHOTIST",
        "authorized_official_telephone_number": "229-386-9829",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "057062934A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sara C Smith, M.D.
• Warren Stephen Smith, CRNA
• William Morgan Smith, MD
• Tina Marie Snow, LMT
• Vinod Kumar Reddy Solipuram
• South Georgia CSB
• South Georgia CSB
• South Georgia Dermatology, PC
• South Georgia Drug Company LLC
• South Georgia Eye Partners

• Prosthetic/Orthotic Supplier in Tifton, GA
• Providers in Tifton, GA by specialty
• Prosthetic/Orthotic Supplier in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.