South Gaorthopedic Resources

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

SOUTH GAORTHOPEDIC RESOURCES

Practice address

127 Enterprise Path
Ste 403
Hiram, GA 30141-2697

Phone

(678) 384-1921

Fax

(678) 384-1922

NPI assigned

Mar 11, 2008

Organization subpart

Yes

Parent organization

SOUTH GEORGIA ORTHOPEDIC RESOURCESAs reported in NPPES

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

Authorized official

Name

Jeffery D Parson, CO

Title

Owner/Orthotist

Phone

(229) 386-9829

Specialties & licenses 1

Addresses

Other names 1

• GEORGIA ORTHOPEDIC RESOURCES Doing business as

Part of

South Gaorthopedic Resources

Locations

Practitioners 1

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

• Jacob Eric Bentley, CO, LO

  • Orthotist
  • Hiram, GA
  • NPI 1417127432
  NPD (past)

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

{
    "created_epoch": "1205193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311724800000",
    "number": "1699945154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 OLD OCILLA RD",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "317941617",
            "telephone_number": "229-386-9829",
            "fax_number": "229-386-9830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 ENTERPRISE PATH",
            "address_2": "STE 403",
            "city": "HIRAM",
            "state": "GA",
            "postal_code": "301412697",
            "telephone_number": "678-384-1921",
            "fax_number": "678-384-1922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH GAORTHOPEDIC RESOURCES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTH GEORGIA ORTHOPEDIC RESOURCES",
        "enumeration_date": "2008-03-11",
        "last_updated": "2011-07-27",
        "status": "A",
        "authorized_official_last_name": "PARSON",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER/ORTHOTIST",
        "authorized_official_telephone_number": "229-386-9829",
        "authorized_official_credential": "CO"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GEORGIA ORTHOPEDIC RESOURCES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Emily Rose Smith
• Tifini Smith
• Soar Health, Inc.
• Soles to Heel Foot and Ankle, LLC
• Som Services LLC
• Madelynn Lorraine Speach, CACII
• Spiritwork Development Group LLC
• Nicole B Spitalnick, CPNP
• Lindsay Patricia Stephenson, MD
• Sterling Private Home Care LLC

• Customized Equipment (DME) in Hiram, GA
• Providers in Hiram, GA by specialty
• Customized Equipment (DME) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2011; 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.