P Praxis·MD
● Active Type 2 · Organization

South Ga Orthopedic Resources Inc

Prosthetic/Orthotic Supplier·Gainesville, GA· NPI 1780094987 · Enumerated 2014 · 12 years on NPI
South Ga Orthopedic Resources Inc is 1 of 408 prosthetic/orthotic supplier organizations in Georgia.
NPI age
12 years
Enumerated 2014-04-28
Primary specialty
Prosthetic/Orthotic Supplier
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Bentley
Manager/part Owner
Last NPPES update
2026-01-20
Source: monthly bulk 2026-05

How this organization compares

Across 408 active prosthetic/orthotic supplier providers in Georgia.

NPI age
12 years
≈ at median (11 yr)
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2014 → 2026

2014-04Enumerated in NPPES
2014 2026

Where they practice

Primary practice location
590 S Enota Dr Ne Ste 1b
Gainesville, GA 305012433
📞 6789604424fax 6786807903
Mailing address
1825 Old Ocilla Rd
Tifton, GA 317941617
📞 2293869829

Authorized official

Jake Eric Bentley, L.O.,C.O.
Manager/part Owner
📞 6789604424

Specialties

  • Prosthetic/Orthotic Supplier Primary
    An 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...
    GA license #L.O. 14 taxonomy 335E00000X

Identifiers

TypeValueNotes
05 (GA) 057062934C

Other names on file (2)

Doing-business-as, former, and alternate names recorded by NPPES.

  • Georgia Orthopedic Resources
    Type code 3 recorded 2020-07-21
  • Georgia Orthopedic Resources
    Type code 3 recorded 2014-04-28

Practice context

Single-site organization. Only one practice location on file.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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