Kelly Dean Winter, CP, LP

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Practice address

7675 Lanier View RDG
Cumming, GA 30041-2162

Phone

(770) 844-1909

NPI assigned

May 9, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• US Department of Veterans Affairs

  • Amputee Clinic/Center
  • Decatur, GA
  • NPI 1881245223
  NPD Authorized official

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211500800000",
    "number": "1619181997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7675 LANIER VIEW RDG",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300412162",
            "telephone_number": "770-844-1909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7675 LANIER VIEW RDG",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300412162",
            "telephone_number": "770-844-1909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINTER",
        "first_name": "KELLY",
        "middle_name": "DEAN",
        "name_prefix": "Mr.",
        "credential": "CP, LP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-09",
        "last_updated": "2008-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "000034",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mark D Winokur, M.D.
• Abigail Leigh Wiseley, PA-C
• Courtney Beth Wisler
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• With Love Home Care LLC
• Women'S Imaging Specialists - Cumming, LLC

• Prosthetic/Orthotic Supplier in Cumming, GA
• Providers in Cumming, 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 May 23, 2008; 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.