Organization Active NPI

Unicare O&P, LLC

  • Prosthetic/Orthotic Supplier
  • Peachtree Corners, GA
National Provider Identifier
1649206137
Registry record updated Jul 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
2008014007 Issued in GA
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

Updated by the provider on Jul 30, 2024

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20100930059505 GA DME Supplier - Prosthetic PersonnelDME Supplier - Orthotic Personnel 2668675307 Practice locations: Peachtree Corners, GA

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
Unicare O&P, LLC3295 River Exchange Dr, Peachtree Corners, GA 30092-4216(770) 903-1061 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 assignmentParticipating since Nov 27, 2006

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.