INNOVATIVE PROSTHETICS LLC
NPI 1063127702
Durable Medical Equipment & Medical Supplies - Customized Equipment in Pawleys Island, SC

Active since January 17, 2023
121B PROFESSIONAL LN, PAWLEYS ISLAND, SC 29585(843) 314-3148(843) 314-0939 Get Directions Write a Review

NPPES record last updated: January 17, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Innovative Prosthetics Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INNOVATIVE PROSTHETICS LLC (NPI 1063127702) is a healthcare organization registered as a customized equipment in Pawleys Island, South Carolina and active in the NPI registry since January 2023. The organization lists James Wesley Haygood, Owner, as its authorized official.

NPPES Registry Identity

NPI1063127702
Entity TypeOrganization
Primary Taxonomy332BC3200X
Legal Business NameINNOVATIVE PROSTHETICS LLC
Location Address121B PROFESSIONAL LNPawleys Island, SC 29585-7878
Mailing Address121b Professional LnPawleys Island, SC 29585-7878 · (843) 314-3148 · Fax (843) 314-0939
Fax(843) 314-0939
Organization SubpartNo
Authorized OfficialJames Wesley HaygoodOwner · (803) 917-5811
Enumeration DateJanuary 17, 2023
NPPES CertifiedJanuary 17, 2023
NPI 1063127702 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

121B PROFESSIONAL LN, Pawleys Island, SC 29585

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20307611
Accepts Medicare Assignment
YES
Provider Type List
CERTIFIED ORTH/PROS/PEDORTHIST.
Competitive Bidding
NO

Supplies List

  • Contracture Treatment Devices: Dynamic Splint - Dynamic splinting devices for the knee, elbow, wrist, finger, or toe
  • Orthoses: Custom Fabricated - Custom met pads, Custom heel pads, Custom heel spur pads
  • Orthoses: Prefabricated (Non-Custom Fabricated) - Met pads, Heel pads, Heel spur pads
  • Orthoses: Off-The-Shelf - Met pads, Heel pads, Heel spur pads
  • Limb Prostheses - Prosthetic arms, Prosthetic feet, Prosthetic knees
  • Diabetic Shoes and Inserts - Shoes, Socks, Insoles
  • Diabetic Shoes/Inserts - Custom - Custom fabricated shoes, socks, & insoles

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Durable Medical Equipment & Medical Supplies
121B PROFESSIONAL LN
PAWLEYS ISLAND, SC 29585

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063127702, enumerated as an "organization" on January 17, 2023.

The provider is located at 121B PROFESSIONAL LN PAWLEYS ISLAND, SC 29585 and the phone number is (843) 314-3148.

Durable Medical Equipment & Medical Supplies with taxonomy code 332BC3200X and a focus in Customized Equipment.