NPI age
18 years
Enumerated 2007-07-26
● Active Type 2 · Organization
Prosthetic Care, Llc
Prosthetic Care, Llc 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
Nemani
Compliance Officer
Last NPPES update
2023-01-25
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
2007-07Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
1445 Old McDonough Hwy Se, Suite-A1
Conyers, GA 300945977
Mailing address
4460 Commerce Dr
Buford, GA 305183489
Authorized official
Pallavi Chintapalli Nemani
Compliance Officer
📞 5125526311
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Jana Fuller, N.P. Nurse Practitioner NPI 1588920524
- Timothy Morris, PA Physician Assistant NPI 1396173837
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) | 00678345A |
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
-
ProCare Prosthetics and Orthotics
-
ProCare Prosthetics and Orthotics
Practice context
Multi-provider organization. 2 individual providers 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.