NPI age
19 years
Enumerated 2006-12-13
● Active
Type 1 · Individual
MRS. Imogene W Cantrell
Cantrell is 1 of 12 prosthetic/orthotic supplier providers in Columbus and 1 of 408 in Georgia.
Primary specialty
Prosthetic/Orthotic Supplier
Licensed in
—
0 states
Status
Active
No deactivations on record
Last NPPES update
2007-07-08
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
19 years
↑ 8 yr above median (11 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
29% of peers hold subspecialties
NPI lifetime · 2006 → 2026
2006-12Enumerated in NPPES
2006
2026
Where they practice
Practice location
1129 13th St
Columbus, GA 319012248
Mailing address
Po Box 4618
Columbus, GA 319140618
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) | 00650394A |
Practice context
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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- 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.