Active NPI
Georgia Carolina Orthotic Centers LLC
- Durable Medical Equipment & Medical Supplies
- Augusta, GA
National Provider Identifier
1821577248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- GEORGIA CAROLINA ORTHOTIC CENTERS LLC
- Practice address
- 2301 Wrightsboro Rd
Augusta, GA 30904-6219 - Phone
- (706) 496-3911
- NPI assigned
- Aug 7, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tom Allen D Williams, CO
- Title
- Owner
- Phone
- (706) 814-3848
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthotist | 222Z00000X | 60 | GA | |
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
2301 Wrightsboro Rd
Augusta, GA 30904-6219
Mailing address
2301 Wrightsboro Rd
Augusta, GA 30904-6219
Phone (706) 496-3911
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003210294A | Medicaid | GA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthotist
- Augusta, GA
- NPI 1124541610
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533600000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1556064000000",
"number": "1821577248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2301 WRIGHTSBORO RD",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309046219",
"telephone_number": "706-496-3911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2301 WRIGHTSBORO RD",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309046219",
"telephone_number": "706-496-3911"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GEORGIA CAROLINA ORTHOTIC CENTERS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-08-07",
"last_updated": "2019-04-24",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "TOM",
"authorized_official_middle_name": "ALLEN D",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "706-814-3848",
"authorized_official_credential": "CO"
},
"taxonomies": [
{
"code": "222Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthotist",
"state": "GA",
"license": "60",
"primary": false
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003210294A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Augusta, GA
- Evalyn Ione George, MD
- Jessica A George, DMD
- Jimmy George
- David Emil Georgi, M.D.
- Georgia Cardiovascular Associates, PC
- Georgia Carolina Orthotic Centers LLC
- Georgia Christian Medical, LLC (Hope Medical Center)
- Georgia CVS Pharmacy LLC (CVS Pharmacy # 07746)
- Georgia CVS Pharmacy LLC (CVS Pharmacy #16468)
- Georgia CVS Pharmacy LLC (CVS Pharmacy # 03378)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.