KINETIC PROSTHETICS & MEDICAL SUPPLY
NPI 1285254656
Prosthetic/Orthotic Supplier in Hiram, GA

Active since April 25, 2020
3595 HIRAM DOUGLASVILLE HWY STE 102, HIRAM, GA 30141(678) 653-8370(404) 492-8885 Get Directions Write a Review

NPPES record last updated: June 12, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 12, 2020, Jun 5, 2020, May 18, 2020 and 1 more (4 updates tracked since 2020).

About Kinetic Prosthetics & Medical Supply NPPES

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

KINETIC PROSTHETICS & MEDICAL SUPPLY (NPI 1285254656) is a healthcare organization registered as a prosthetic/orthotic supplier in Hiram, Georgia and active in the NPI registry since April 2020. The organization lists Martina Cameron, Ceo, as its authorized official.

NPPES Registry Identity

NPI1285254656
Entity TypeOrganization
Primary Taxonomy335E00000X
Legal Business NameKINETIC PROSTHETICS & MEDICAL SUPPLY
Location Address3595 HIRAM DOUGLASVILLE HWY STE 102Hiram, GA 30141-4963
Mailing Address3595 Hiram Douglasville Hwy Ste 102Hiram, GA 30141-4963 · (678) 653-8370 · Fax (404) 492-8885
Fax(404) 492-8885
Organization SubpartNo
Authorized OfficialMartina CameronCeo · (770) 756-7073
Enumeration DateApril 25, 2020
Last NPPES UpdateJune 12, 20204 updates tracked since enumeration
NPPES CertifiedJune 12, 2020
NPI 1285254656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyProsthetic/Orthotic SupplierSuppliers
Taxonomy Code335E00000X
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.
3595 HIRAM DOUGLASVILLE HWY STE 102, Hiram, GA 30141

Other Identifiers 1

Other7812720001GA · Dmepos

Medical Equipment Supplier Medicare DMEPOS 12

Medicare supplier enrollment and the product categories Kinetic Prosthetics & Medical Suppl carries, from the Medicare DMEPOS supplier directory.

Kinetic Prosthetics & Medical Suppl

DMEPOS supplier · Hiram, GAOperated by Kinetic Prosthetics & Medical Supply

Accepts Medicare assignment

Kinetic Prosthetics & Medical Suppl agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20414117
Medicare Participant SinceMay 7, 2020
Supplier Location3595 Hiram Douglasville Hwy Ste 102Hiram, GA 30141
Supplier Specialties
MSC With Orthotic-Prosthetic

Medicare Product Categories

Blood Glucose Monitors/Supplies (Non-Mail Order)
Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
Blood Glucose Monitors/Supplies (Mail Order)
Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
Heat & Cold Applications
Heat therapy, Cold therapy, Heating pads
Traction Equipment
Traction tables, Traction machines, Inversion tables
Canes and/or Crutches
Standard Canes, Quad Canes, Offset Canes, Standard Crutches, Forearm Crutches
Walkers
Standard Walkers, Wheeled Walkers, Folding Walker
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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 Kinetic Prosthetics & Medical Supply's NPI number?

The NPI number for Kinetic Prosthetics & Medical Supply is 1285254656. It was assigned to this organization in the NPPES registry on April 25, 2020.

Where is Kinetic Prosthetics & Medical Supply located?

Kinetic Prosthetics & Medical Supply is located at 3595 Hiram Douglasville Hwy Ste 102, Hiram, GA 30141. The listed phone number is (678) 653-8370.

What is Kinetic Prosthetics & Medical Supply's specialty?

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

Does Kinetic Prosthetics & Medical Supply accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Kinetic Prosthetics & Medical Suppl accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

When was this NPI record last updated?

The NPPES record for Kinetic Prosthetics & Medical Supply was last updated on June 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.