Orthopro Services, LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

ORTHOPRO SERVICES, LLC

Practice address

458 Hemlock St
Suite 100a
Macon, GA 31201-4200

Phone

(478) 742-0212

Fax

(478) 742-0236

NPI assigned

Aug 19, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Ryan Gatlin, CPO

Title

Managing Member

Phone

(478) 742-0212

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).

• Orthopro Services, LLC

  • Prosthetic/Orthotic Supplier
  • Dublin, GA
  • NPI 1528017092

  6002927381

  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

Orthopro Services LLC2 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.

• Orthopro Services, LLC

  • Prosthetic/Orthotic Supplier
  • Dublin, GA
  • NPI 1528017092
  NPD tax ID

Locations

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

{
    "created_epoch": "1313712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439251200000",
    "number": "1417237694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "458 HEMLOCK ST",
            "address_2": "SUITE 100A",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312014200",
            "telephone_number": "478-742-0212",
            "fax_number": "478-742-0236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "458 HEMLOCK ST",
            "address_2": "SUITE 100A",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312014200",
            "telephone_number": "478-742-0212",
            "fax_number": "478-742-0236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPRO SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-19",
        "last_updated": "2015-08-11",
        "status": "A",
        "authorized_official_last_name": "GATLIN",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "478-742-0212",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000897234C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Orthoatlanta, LLC
• Orthoatlanta, LLC
• Orthodontic Care of Georgia
• Orthogeorgia Rehab Services
• Orthopod 1
• Bailey A Ortiz
• Reginald Duane Osbon, MD
• Debra Ann Osborne, M.D.
• Kennedy Brooke Osborne
• Megan L Osborne, PA-C

• Prosthetic/Orthotic Supplier in Macon, GA
• Providers in Macon, 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 Aug 11, 2015; 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.