NPIMap

Organization Active NPI

Able Prosthetic Care, Inc.

  • Prosthetic/Orthotic Supplier
  • Madison, GA
National Provider Identifier
1528296498
Registry record updated Jun 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
000006 Issued in GA
Legal business name
ABLE PROSTHETIC CARE, INC.
Practice address
218 W Washington St
Madison, GA 30650-1210
Phone
(770) 922-5540
Fax
(770) 922-8535
NPI assigned
Jun 30, 2009
Last updated
Jun 30, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
ABLE PROSTHETIC CARE, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 30, 2009

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

Authorized official

Name
Brenda HolzerNPI 1053852343
Title
Cfo
Phone
(770) 922-5540

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
Prosthetic/Orthotic Supplier 335E00000X 000006 GA Primary

Addresses

Primary practice location

218 W Washington St
Madison, GA 30650-1210

Mailing address

2141 Eastview Pkwy
Conyers, GA 30013-5756
Phone (770) 922-5540

National Provider Directory

National Provider Directory
Tax ID family
Able Prosthetic Care Inc2 organizations share this tax ID, including this one
Part of
Able Prosthetic Care Inc

Other organizations with this tax ID 1

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

Locations

218 W Washington St
Madison, GA 30650
Phone (770) 922-5540

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 2

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": "1246320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246320000000",
    "number": "1528296498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2141 EASTVIEW PKWY",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300135756",
            "telephone_number": "770-922-5540",
            "fax_number": "770-922-8535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 W WASHINGTON ST",
            "city": "MADISON",
            "state": "GA",
            "postal_code": "306501210",
            "telephone_number": "770-922-5540",
            "fax_number": "770-922-8535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABLE PROSTHETIC CARE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ABLE PROSTHETIC CARE, INC.",
        "enumeration_date": "2009-06-30",
        "last_updated": "2009-06-30",
        "status": "A",
        "authorized_official_last_name": "HOLZER",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "770-922-5540"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "GA",
            "license": "000006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.