SOUTH GA ORTHOPEDIC RESOURCES INC
NPI 1295918712
Prosthetic/Orthotic Supplier in Tifton, GA

Active since December 06, 2007
1825 OLD OCILLA RD, TIFTON, GA 31794(229) 386-9829(229) 386-9830 Get Directions Write a Review

NPPES record last updated: June 25, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 25, 2024, Jun 26, 2017 (2 updates tracked since 2017).

About South Ga Orthopedic Resources Inc NPPES

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

SOUTH GA ORTHOPEDIC RESOURCES INC (NPI 1295918712) is a healthcare organization registered as a prosthetic/orthotic supplier in Tifton, Georgia and active in the NPI registry since December 2007. The organization lists Jeffery Dean Parson, Owner, Orthotist, as its authorized official.

NPPES Registry Identity

NPI1295918712
Entity TypeOrganization
Primary Taxonomy335E00000X
Legal Business NameSOUTH GA ORTHOPEDIC RESOURCES INC
Location Address1825 OLD OCILLA RDTifton, GA 31794-1617
Mailing Address1825 Old Ocilla RdTifton, GA 31794-1617 · (229) 386-9829 · Fax (229) 386-9830
Fax(229) 386-9830
Organization SubpartNo
Authorized OfficialJeffery Dean ParsonOwner, Orthotist · (229) 386-9829
Enumeration DateDecember 6, 2007
Last NPPES UpdateJune 25, 20242 updates tracked since enumeration
NPPES CertifiedJune 25, 2024
NPI 1295918712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.

1825 OLD OCILLA RD, Tifton, GA 31794

Other Identifiers 1

Medicaid057062934AGA

Accepted Insurance

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20575025
Accepts Medicare Assignment
YES
Specialities List
MSC With Orthotic Personnel, Orthotic Personnel.
Competitive Bidding
NO

Supplies List

  • 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
  • Lymphedema Compression Treatment Items -

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1295918712, enumerated as an "organization" on December 06, 2007.

The provider is located at 1825 OLD OCILLA RD TIFTON, GA 31794 and the phone number is (229) 386-9829.

Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

The provider might be accepting Accepts: Ambetter from Absolute Total Care, Ambetter. Please consult your insurance carrier or call the provider to verify.