Active NPI
Oconee Prosthetics LLC
- Prosthetist
- Watkinsville, GA
National Provider Identifier
1396332847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetist
- Legal business name
- OCONEE PROSTHETICS LLC
- Practice address
- 1050 Barber Creek Dr Ste 103
Watkinsville, GA 30677-4502 - Phone
- (706) 850-3883
- NPI assigned
- Dec 30, 2020
- Last updated
- Mar 6, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Zachary T Hughes, LCP
- Title
- President
- Phone
- (706) 850-3883
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetist | 224P00000X | NU | Primary |
Addresses
Primary practice location
1050 Barber Creek Dr Ste 103
Watkinsville, GA 30677-4502
Mailing address
PO Box 1714
Watkinsville, GA 30677-0034
Phone (706) 850-3883
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | info@oconeeprosthetics.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210308001486 | GA | DME Supplier - Prosthetic Personnel | 5294141750 | Practice locations: Good Hope, GA |
National Provider Directory
National Provider DirectoryLocations
1050 Barber Creek Dr
Ste 103
Watkinsville, GA 30677
Phone (334) 380-1888
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Prosthetist
- Watkinsville, GA
- NPI 1477152239
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609286400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1614988800000",
"number": "1396332847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1714",
"city": "WATKINSVILLE",
"state": "GA",
"postal_code": "306770034",
"telephone_number": "706-850-3883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1050 BARBER CREEK DR STE 103",
"city": "WATKINSVILLE",
"state": "GA",
"postal_code": "306774502",
"telephone_number": "706-850-3883"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OCONEE PROSTHETICS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-12-30",
"last_updated": "2021-03-06",
"certification_date": "2021-03-06",
"status": "A",
"authorized_official_last_name": "HUGHES",
"authorized_official_first_name": "ZACHARY",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "706-850-3883",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LCP"
},
"taxonomies": [
{
"code": "224P00000X",
"taxonomy_group": "",
"desc": "Prosthetist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "info@oconeeprosthetics.com",
"affiliation": "N",
"endpointDescription": "Encrypted email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1050 Barber Creek Dr Ste 103",
"city": "Watkinsville",
"state": "GA",
"country_code": "US",
"postal_code": "306774502",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Watkinsville, GA
- Oconee County Health Department
- Oconee County Health Department (Oconee Co BD of HLTH)
- Oconee County School System
- Oconee Eye LLC
- Oconee Primary Care, L.L.C.
- Oconee Regenerative PT LLC
- Oconee River Anesthesia Associates, LLC
- Oconee Roots Pharmacy, LLC
- Oconee Sleep Solutions LLC
- Oconee Surgery Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.