Organization Active NPI

Georgia Carolina Orthotic Centers LLC

  • Durable Medical Equipment & Medical Supplies
  • Augusta, GA
National Provider Identifier
1821577248
Registry record updated Apr 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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

Updated by the provider on Apr 24, 2019

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)CodeLicenseStatePrimary
OrthotistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
003210294AMedicaidGA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

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

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.

Verify at the official NPI Registry.