Southern Orthotics, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

SOUTHERN ORTHOTICS, INC.

Practice address

462 Memory LN
Suite 120
Dawsonville, GA 30534-4314

Phone

(706) 216-0102

Fax

(706) 216-0102

NPI assigned

Apr 27, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Carolyn W. Barber

Title

President

Phone

(706) 216-0102

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239148800000",
    "number": "1649237389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "462 MEMORY LN",
            "address_2": "SUITE 120",
            "city": "DAWSONVILLE",
            "state": "GA",
            "postal_code": "305344314",
            "telephone_number": "706-216-0102",
            "fax_number": "706-216-0102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "462 MEMORY LN",
            "address_2": "SUITE 120",
            "city": "DAWSONVILLE",
            "state": "GA",
            "postal_code": "305344314",
            "telephone_number": "706-216-0102",
            "fax_number": "706-216-0102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN ORTHOTICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-27",
        "last_updated": "2009-04-08",
        "status": "A",
        "authorized_official_last_name": "BARBER",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "706-216-0102",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00972881A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EVERCARE",
            "identifier": "82-00286",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Billy Cole Smith, PT, DPT
• Jerry Smith
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• Kristen Souther, MSN, RN CPNP-PC
• Spark Path Therapy LLC
• Angela O'Neill Sparks, OTD
• Specialty Orthopaedics, PC
• Tony Michael Stanley Jr., D.M.D
• Stanton Optical

• Durable Medical Equipment & Medical Supplies in Dawsonville, GA
• Providers in Dawsonville, GA by specialty
• Durable Medical Equipment & Medical Supplies in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.

Verify at the official NPI Registry.