Organization Active NPI

Oconee Prosthetics LLC

  • Prosthetist
  • Watkinsville, GA
National Provider Identifier
1396332847
Registry record updated Mar 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthetistTaxonomy code 224P00000X
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, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2021

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

Authorized official

Name
Mr. Zachary T Hughes, LCPNPI 1477152239
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)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
Direct Messaging Address info@oconeeprosthetics.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210308001486 GA DME Supplier - Prosthetic Personnel 5294141750 Practice locations: Good Hope, GA

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.