NPI age
6 years
Enumerated 2020-04-25
● Active Type 2 · Organization
Kinetic Prosthetics & Medical Supply
Kinetic Prosthetics & Medical Supply is 1 of 408 prosthetic/orthotic supplier organizations in Georgia.
Primary specialty
Prosthetic/Orthotic Supplier
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Cameron
Ceo
Last NPPES update
2020-06-12
Source: monthly bulk 2026-05
How this organization compares
Across 408 active prosthetic/orthotic supplier providers in Georgia.
NPI age
6 years
↓ 5 yr below median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 29% of peers with subspecialties
NPI lifetime · 2020 → 2026
2020-04Enumerated in NPPES
2020
2026
Where they practice
Primary practice location
3595 Hiram Douglasville Hwy Ste 102
Hiram, GA 301414963
Mailing address
3595 Hiram Douglasville Hwy Ste 102
Hiram, GA 301414963
Authorized official
Martina Cameron
Ceo
📞 7707567073
Specialties
-
Prosthetic/Orthotic Supplier PrimaryAn organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring...
-
Durable Medical Equipment & Medical SuppliesDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 7812720001 | DMEPOS |
Practice context
Single-site organization. Only one practice location on file.
Provyx · Custom healthcare lists
Need all 408 Prosthetic/Orthotic Supplier providers in Georgia?
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →How to verify this organization
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.