Active NPI
Gatewood Prosthetics Inc
- Durable Medical Equipment & Medical Supplies
- Columbus, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 000071
- Legal business name
- GATEWOOD PROSTHETICS INC
- Practice address
- 2515 Old Whittlesey Rd
Suite a
Columbus, GA 31909-3020 - Phone
- (706) 596-8004
- Fax
- (706) 327-3388
- NPI assigned
- Nov 2, 2007
- 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
- George Gatewood, CPO,CPED
- Title
- Owner,Prosthetist,Orthotist,Pedorth
- Phone
- (706) 596-8004
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 |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 000071 | GA | Primary |
Addresses
Primary practice location
2515 Old Whittlesey Rd
Suite a
Columbus, GA 31909-3020
Mailing address
PO Box 1623
Fortson, GA 31808-1623
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| N343442 | Other | GA | WELLCARE |
| 00919553A | Medicaid | GA | |
| 138773 | Other | GA | PEACHSTATE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930056185 | GA | DME Supplier - Orthotic Personnel | 5890903413 | Practice locations: Columbus, GA |
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Gatewood Prosthetics Inc | Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Breast Prostheses and/or Accessories|Limb Prostheses|Diabetic Shoes/Inserts - Custom | Does not accept assignment |
National Provider Directory
National Provider DirectoryLocations
2515 Old Whittlesey Rd
Ste A
Columbus, GA 31909
Phone (706) 596-8004
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Durable Medical Equipment & Medical Supplies
- Columbus, GA
- NPI 1932253101
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193961600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1382313600000",
"number": "1407035710",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1623",
"city": "FORTSON",
"state": "GA",
"postal_code": "318081623"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2515 OLD WHITTLESEY RD",
"address_2": "SUITE A",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "319093020",
"telephone_number": "706-596-8004",
"fax_number": "706-327-3388"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GATEWOOD PROSTHETICS INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-02",
"last_updated": "2013-10-21",
"status": "A",
"authorized_official_last_name": "GATEWOOD",
"authorized_official_first_name": "GEORGE",
"authorized_official_title_or_position": "OWNER,PROSTHETIST,ORTHOTIST,PEDORTH",
"authorized_official_telephone_number": "706-596-8004",
"authorized_official_credential": "CPO,CPED"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "GA",
"license": "000071",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE",
"identifier": "N343442",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00919553A",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PEACHSTATE",
"identifier": "138773",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2013; 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.