NPI age
9 years
Enumerated 2017-02-21
● Active Type 2 · Organization
Anntioneek Boston
Anntioneek Boston 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
Boston
Hair Loss Specialist
Last NPPES update
2017-02-21
Source: monthly bulk 2026-05
How this organization compares
Across 408 active prosthetic/orthotic supplier providers in Georgia.
NPI age
9 years
↓ 2 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2017 → 2026
2017-02Enumerated in NPPES
2017
2026
Where they practice
Primary practice location
870 Crestmark Dr, Suite 200
Lithia Springs, GA 301222665
Mailing address
Po Box 733
Palmetto, GA 302680733
Authorized official
Anntioneek Marshelle Boston, CERTIFIED
Hair Loss Specialist
📞 6787443440
Individual providers at this organization
5 individual providers on file at this primary practice address.
- Raj Bansal, MD Obstetrics & Gynecology NPI 1386617603
- Seretta Crutcher, MT Massage Therapist NPI 1902045909
- Gregory Jemison Massage Therapist NPI 1508441619
- Lisa Kimble, D.D.S. Dentist NPI 1043386782
- Esther Onyirimba Nurse Practitioner NPI 1013312529
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) | 1744P3200X | MEDICAL INSURANCE COMPANIES |
Practice context
Multi-provider organization. 5 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 →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.