Active NPI
Unicare O&P, LLC
- Prosthetic/Orthotic Supplier
- Peachtree Corners, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- License
- 2008014007
- Legal business name
- UNICARE O&P, LLC
- Practice address
- 3295 River Exchange Dr Ste 518
Peachtree Corners, GA 30092-4216 - Phone
- (770) 903-1061
- Fax
- (770) 903-1062
- NPI assigned
- Jun 25, 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
- Edward Gurin, MS, CPO
- Title
- President
- Phone
- (770) 903-1061
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 2008014007 | GA | |
| Prosthetic/Orthotic Supplier | 335E00000X | 2008014007 | GA | Primary |
Addresses
Primary practice location
3295 River Exchange Dr Ste 518
Peachtree Corners, GA 30092-4216
Mailing address
3295 River Exchange Dr Ste 518
Norcross, GA 30092-4216
Phone (770) 903-1061
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930059505 | GA | DME Supplier - Prosthetic Personnel | 2668675307 | Practice locations: Peachtree Corners, GA |
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Unicare O&P, LLC | Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Breast Prostheses and/or Accessories|Limb Prostheses|Diabetic Shoes and Inserts | Does not accept assignment |
National Provider Directory
National Provider DirectoryLocations
3295 River Exchange Dr
Ste 518
Peachtree Corners, GA 30092
Phone (770) 903-1061
3120 Medlock Bridge Rd
Ste H300
Peachtree Corners, GA 30071
Phone (770) 903-1061
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151193600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1722297600000",
"number": "1649206137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3295 RIVER EXCHANGE DR STE 518",
"city": "NORCROSS",
"state": "GA",
"postal_code": "300924216",
"telephone_number": "770-903-1061",
"fax_number": "770-903-1062"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3295 RIVER EXCHANGE DR STE 518",
"city": "PEACHTREE CORNERS",
"state": "GA",
"postal_code": "300924216",
"telephone_number": "770-903-1061",
"fax_number": "770-903-1062"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNICARE O&P, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-25",
"last_updated": "2024-07-30",
"certification_date": "2024-07-19",
"status": "A",
"authorized_official_last_name": "GURIN",
"authorized_official_first_name": "EDWARD",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "770-903-1061",
"authorized_official_credential": "MS, CPO"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "GA",
"license": "2008014007",
"primary": false
},
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": "GA",
"license": "2008014007",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Peachtree Corners, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; 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.