NPI age
18 years
Enumerated 2007-11-16
● Active Type 2 · Organization
Premier Orthotics & Prosthetics, Inc
Premier Orthotics & Prosthetics, Inc is 1 of 408 prosthetic/orthotic supplier organizations in Georgia.
Primary specialty
Prosthetic/Orthotic Supplier
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Dixon
Ceo/owner
Last NPPES update
2007-11-16
Source: monthly bulk 2026-05
How this organization compares
Across 408 active prosthetic/orthotic supplier providers in Georgia.
NPI age
18 years
↑ 7 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2007 → 2026
2007-11Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
753 N Indian Creek Dr
Clarkston, GA 300212347
Mailing address
753 N Indian Creek Dr
Clarkston, GA 300212347
Authorized official
Melvin Dixon, CPO
Ceo/owner
📞 4042924200
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Melvin Dixon, CPO Orthotic Fitter NPI 1083672695
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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 00846513A |
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.