Concourse Bracing & Orthotics

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

CONCOURSE BRACING & ORTHOTICS

Practice address

2183 Ramblewood Cir
Decatur, GA 30035-3644

Phone

(678) 518-9533

Fax

(678) 518-9583

NPI assigned

Jan 24, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Patti A Selders-Robinson

Title

Billing Manager

Phone

(678) 518-9533

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1201132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201132800000",
    "number": "1730366485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 420508",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303420508",
            "telephone_number": "678-518-9533",
            "fax_number": "678-518-9583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2183 RAMBLEWOOD CIR",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300353644",
            "telephone_number": "678-518-9533",
            "fax_number": "678-518-9583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCOURSE BRACING & ORTHOTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-24",
        "last_updated": "2008-01-24",
        "status": "A",
        "authorized_official_last_name": "SELDERS-ROBINSON",
        "authorized_official_first_name": "PATTI",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "678-518-9533",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "52188205 001",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Complete Medical Product Inc.
• Complete Medical Products Inc.
• Comprehensive Medical Healthcare
• Valerie Lynne Compson, MS, ATC, LAT
• Concierge Communication Group
• Jalisa Conklin, LMSW
• Michael Sean Conley, M.D.
• Connect Hearing, Inc.
• Trisha Conner
• Whitney E Conner, APC

• Customized Equipment (DME) in Decatur, GA
• Providers in Decatur, 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 Jan 24, 2008; 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.