Active NPI
Georgia South Hand Therapy, Inc
- Customized Equipment (DME)
- Stockbridge, GA
National Provider Identifier
1609963115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Customized Equipment (DME)
- Legal business name
- GEORGIA SOUTH HAND THERAPY, INC
- Practice address
- 7444 Hannover Pkwy S
Suite 250
Stockbridge, GA 30281-9303 - Phone
- (770) 474-4595
- Fax
- (770) 474-4182
- NPI assigned
- Oct 6, 2006
- 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
- Ms. Lucy Thomas
- Title
- Office/Billing Manager
- Phone
- (770) 474-4595
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | |||
| Hand Occupational Therapist | 225XH1200X | |||
| Customized Equipment (DME) | 332BC3200X | Primary | ||
| Prosthetic/Orthotic Supplier | 335E00000X |
Addresses
Primary practice location
7444 Hannover Pkwy S
Suite 250
Stockbridge, GA 30281-9303
Mailing address
7444 Hannover Pkwy S
Suite 250
Stockbridge, GA 30281-9303
Phone (770) 474-4595
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| #P-11215765 | Other | GA | MULTI PLAN HEALTH |
| 670002188 | Other | GA | RAILROAD MEDICARE |
| 253024492A | Medicaid | GA | |
| 612611600 | Other | GA | DEPT OF LABOR |
| 7921605 | Other | GA | AETNA HEALTH INS |
National Provider Directory
National Provider DirectoryLocations
7444 Hannover Pkwy S
Ste 250
Stockbridge, GA 30281
Phone (770) 474-4595
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160092800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1254355200000",
"number": "1609963115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7444 HANNOVER PKWY S",
"address_2": "SUITE 250",
"city": "STOCKBRIDGE",
"state": "GA",
"postal_code": "302819303",
"telephone_number": "770-474-4595",
"fax_number": "770-474-4182"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7444 HANNOVER PKWY S",
"address_2": "SUITE 250",
"city": "STOCKBRIDGE",
"state": "GA",
"postal_code": "302819303",
"telephone_number": "770-474-4595",
"fax_number": "770-474-4182"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GEORGIA SOUTH HAND THERAPY, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-06",
"last_updated": "2009-10-01",
"status": "A",
"authorized_official_last_name": "THOMAS",
"authorized_official_first_name": "LUCY",
"authorized_official_title_or_position": "OFFICE/BILLING MANAGER",
"authorized_official_telephone_number": "770-474-4595",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225XH1200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist, Hand",
"state": null,
"license": null,
"primary": false
},
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": null,
"license": null,
"primary": true
},
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MULTI PLAN HEALTH",
"identifier": "#P-11215765",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "670002188",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "253024492A",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPT OF LABOR",
"identifier": "612611600",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HEALTH INS",
"identifier": "7921605",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Stockbridge, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.