NPI age
19 years
Enumerated 2006-06-28
● Active Type 2 · Organization
Amputee Prosthetic Clinic, Co.
Amputee Prosthetic Clinic, Co. 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
Young
Off. Manager/owner
Last NPPES update
2024-01-19
Source: monthly bulk 2026-05
How this organization compares
Across 408 active prosthetic/orthotic supplier providers in Georgia.
NPI age
19 years
↑ 8 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-06Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
805 Camden Way
Tifton, GA 317948093
Mailing address
4900 Mercer University Dr
MacOn, GA 312106239
Authorized official
Pam S Young
Off. Manager/owner
📞 4784745678
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 |
|---|---|---|
| 01 (GA) | 6016598 | DEPT. OF LABOR |
| 05 (GA) | 408774069A |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
AMPUTEE PROSTHETIC CLINIC
Practice context
Single-site organization. Only one practice location on file.
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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.