Organization Active NPI

Hyde Prosthetics and Orthotics, LLC

  • Prosthetic/Orthotic Supplier
  • Stockbridge, GA
National Provider Identifier
1972842045
Registry record updated Aug 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
HYDE PROSTHETICS AND ORTHOTICS, LLC
Practice address
290 Country Club Dr Ste 210
Stockbridge, GA 30281-9022
Phone
(770) 892-0170
Fax
(770) 892-0173
NPI assigned
Feb 8, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2019

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

Authorized official

Name
Mr. Todd Lamar HydeNPI 1780981282
Title
Owner
Phone
(770) 892-0170

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

290 Country Club Dr Ste 210
Stockbridge, GA 30281-9022

Mailing address

290 Country Club Dr Ste 210
Stockbridge, GA 30281-9022
Phone (770) 892-0170

National Provider Directory

National Provider Directory

Locations

290 Country Club Dr
Ste 210
Stockbridge, GA 30281
Phone (770) 538-1723

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1360281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566864000000",
    "number": "1972842045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 COUNTRY CLUB DR STE 210",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302819022",
            "telephone_number": "770-892-0170",
            "fax_number": "770-892-0173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 COUNTRY CLUB DR STE 210",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302819022",
            "telephone_number": "770-892-0170",
            "fax_number": "770-892-0173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HYDE PROSTHETICS AND ORTHOTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-08",
        "last_updated": "2019-08-27",
        "status": "A",
        "authorized_official_last_name": "HYDE",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "LAMAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-892-0170",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockbridge, GA

Sources for this page

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