Organization Active NPI

Georgia Orthotics & Prosthetics

  • Durable Medical Equipment & Medical Supplies
  • Macon, GA
National Provider Identifier
1609888080
Registry record updated Jan 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
GEORGIA ORTHOTICS & PROSTHETICS
Practice address
135 Northcrest Blvd
Macon, GA 31210-1845
Phone
(478) 745-8623
Fax
(478) 745-9859
NPI assigned
Aug 13, 2006
Last updated
Jan 4, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2012

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

Authorized official

Name
Mr. George Ray Altman
Title
Owner/President
Phone
(478) 745-8623

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

135 Northcrest Blvd
Macon, GA 31210-1845

Mailing address

135 North Crest BLD
Macon, GA 31210
Phone (478) 745-8623

Other identifiers 1

IdentifierTypeStateIssuer
00896761AMedicaidGA

National Provider Directory

National Provider Directory

Locations

204 Spring St
Macon, GA 31201
Phone (478) 745-8623

872 1st St
Macon, GA 31201
Phone (478) 745-8623

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": "1155427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325635200000",
    "number": "1609888080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 NORTH CREST BLD",
            "city": "MACON",
            "state": "GA",
            "postal_code": "31210",
            "telephone_number": "478-745-8623",
            "fax_number": "478-745-9859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 NORTHCREST BLVD",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312101845",
            "telephone_number": "478-745-8623",
            "fax_number": "478-745-9859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA ORTHOTICS & PROSTHETICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-13",
        "last_updated": "2012-01-04",
        "status": "A",
        "authorized_official_last_name": "ALTMAN",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "478-745-8623",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00896761A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2012; 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.