WOOTEN PROSTHETICS INC
NPI 1154367548
Prosthetic/Orthotic Supplier in Riverdale, GA

Q: What is Wooten Prosthetics Inc's NPI number?

The NPI number for Wooten Prosthetics Inc is 1154367548. It was assigned to this organization in the NPPES registry on June 22, 2006.

Q: What is Wooten Prosthetics Inc's specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

Active since June 22, 2006

203 MEDICAL WAY, SUITE B, RIVERDALE, GA 30274(770) 991-7128(770) 991-7130 Get Directions Write a Review

NPPES record last updated: September 12, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Wooten Prosthetics Inc NPPES

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

WOOTEN PROSTHETICS INC (NPI 1154367548) is a healthcare organization registered as a prosthetic/orthotic supplier in Riverdale, Georgia and active in the NPI registry since June 2006. The organization lists Jan L Wooten, Owner/ceo, as its authorized official.

NPPES Registry Identity

NPI1154367548

Entity TypeOrganization

Primary Taxonomy335E00000X

Legal Business NameWOOTEN PROSTHETICS INC

Location Address203 MEDICAL WAY, SUITE BRiverdale, GA 30274-2517

Mailing Address203 Medical Way, Suite BRiverdale, GA 30274-2517 · (770) 991-7128 · Fax (770) 991-7130

Phone(770) 991-7128

Fax(770) 991-7130

Organization SubpartNo

Authorized OfficialJan L WootenOwner/ceo · (770) 991-7128

Enumeration DateJune 22, 2006

Last NPPES UpdateSeptember 12, 2013

✔ NPI 1154367548 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyProsthetic/Orthotic SupplierSuppliers

Taxonomy Code335E00000X

License✔ Licensed in GA · N/A

Definition

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 physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.

203 MEDICAL WAY, Riverdale, GA 30274

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Other Identifiers 2

Medicaid00317204AGA

Medicare ID-Type Unspecified0260050002GA · Provider Number

Other Providers at the Same Location NPPES 2

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

FIVE STAR MEDICAL SUPPLY

Durable Medical Equipment & Medical Supplies

203 MEDICAL WAY, SUITE B
RIVERDALE, GA 30274

Clayton County (678) 663-1501

SHAJIH L MUHANNA MD

Surgery (Vascular Surgery)

203 MEDICAL WAY, STE A
RIVERDALE, GA 30274

Clayton County (770) 991-1319

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wooten Prosthetics Inc's NPI number?

The NPI number for Wooten Prosthetics Inc is 1154367548. It was assigned to this organization in the NPPES registry on June 22, 2006.

Where is Wooten Prosthetics Inc located?

Wooten Prosthetics Inc is located at 203 Medical Way Suite B, Riverdale, GA 30274. The listed phone number is (770) 991-7128.

What is Wooten Prosthetics Inc's specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

When was this NPI record last updated?

The NPPES record for Wooten Prosthetics Inc was last updated on September 12, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.