NPIMap

Individual provider Active NPI

Todd Lamar Hyde

  • Prosthetic/Orthotic Supplier
  • Macon, GA
National Provider Identifier
1780981282
Registry record updated Jul 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Practice address
3715 Vineville Ave
Suite B
Macon, GA 31204-1854
Phone
(478) 474-8040
Fax
(478) 474-8048
NPI assigned
Feb 17, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

3715 Vineville Ave
Suite B
Macon, GA 31204-1854

Mailing address

1058 Warwick Dr
Macon, GA 31210-1540
Phone (478) 474-8040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hyde Prosthetics and Orthotics, LLC Prosthetic/Orthotic Supplier Current Accepting new patients
Hyde Mobility LLC Current Accepting new patients
Hyde Prosthetics and Orthotics, LLC Prosthetic/Orthotic Supplier Current Accepting new patients
Pediatric Mobility Past Accepting new patients
Pediatric Mobility Prosthetic/Orthotic Supplier Past Accepting new patients

Locations

3715 Vineville Ave
Ste B
Macon, GA 31204
Phone (478) 474-8040

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1297900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310947200000",
    "number": "1780981282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1058 WARWICK DR",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312101540",
            "telephone_number": "478-474-8040",
            "fax_number": "478-474-8048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3715 VINEVILLE AVE",
            "address_2": "SUITE B",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312041854",
            "telephone_number": "478-474-8040",
            "fax_number": "478-474-8048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HYDE",
        "first_name": "TODD",
        "middle_name": "LAMAR",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-02-17",
        "last_updated": "2011-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.