NPI age
3 years
Enumerated 2022-11-08
● Active
Type 1 · Individual
Maya Lake
Lake is 1 of 79 prosthetic/orthotic supplier providers in Atlanta and 1 of 408 in Georgia.
Primary specialty
Prosthetic/Orthotic Supplier
Licensed in
—
0 states
Status
Active
No deactivations on record
Last NPPES update
2022-11-08
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 408 active prosthetic/orthotic supplier providers in Georgia.
NPI age
3 years
↓ 8 yr below median (11 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
29% of peers hold subspecialties
NPI lifetime · 2022 → 2026
2022-11Enumerated in NPPES
2022
2026
Where they practice
Practice location
2053 Metropolitan Pkwy Sw Ste A
Atlanta, GA 303155926
Mailing address
2973 Headland Dr Sw Ste D
Atlanta, GA 303115434
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...
Practice context
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
Recently enumerated nearby: 4 new prosthetic/orthotic supplier providers have been added in Atlanta in the last 180 days.
See all →
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Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.