Hyde Prosthetics and Orthotics, LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

HYDE PROSTHETICS AND ORTHOTICS, LLC

Practice address

130 College St
Macon, GA 31201-1607

Phone

(478) 474-8040

Fax

(478) 474-8048

NPI assigned

Jul 18, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Todd Lamar HydeNPI 1780981282

Title

Owner

Phone

(478) 474-8040

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

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

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Todd Lamar Hyde

  • Prosthetic/Orthotic Supplier
  • Macon, GA
  • NPI 1780981282
  NPD Authorized official

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

{
    "created_epoch": "1310947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566864000000",
    "number": "1619265253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 COLLEGE ST",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312011607",
            "telephone_number": "478-474-8040",
            "fax_number": "478-474-8048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 COLLEGE ST",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312011607",
            "telephone_number": "478-474-8040",
            "fax_number": "478-474-8048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HYDE PROSTHETICS AND ORTHOTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-18",
        "last_updated": "2019-08-27",
        "status": "A",
        "authorized_official_last_name": "HYDE",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "LAMAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "478-474-8040",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003209255A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003107963A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Rae Hutchins
• Lance Charles Hutchins, ATC
• Marcia Bender Hutchinson, MD
• Deon V Hutchison, CNS
• Travis Eric Huttner, PT
• Ted Hyde
• Todd Lamar Hyde
• Leon Albert Hyer, PSYCHOLOGIST
• I V Care of Middle Georgia Inc
• Ian Bradley Hair Salon

• 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 27, 2019; 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.