MR. RUSSELL DAVID HOLCOMB LCPO
NPI 1477610475
Prosthetist in Canton, GA

NPI Status: Active since January 02, 2007

Contact Information

95 HICKORY SPRINGS IND DR
CANTON, GA
ZIP 30115
Phone: (770) 345-6899
Fax: (770) 345-7341

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  • Individual
  • Male
  • Prosthetist

About RUSSELL HOLCOMB

This page provides the complete NPI Profile along with additional information for Russell Holcomb, a provider established in Canton, Georgia with a medical specialization in Prosthetist. The healthcare provider is registered in the NPI registry with number 1477610475 assigned on January 2007. The practitioner's primary taxonomy code is 224P00000X with license number 003 (GA). The provider is registered as an individual and his NPI record was last updated one year ago.

NPI
1477610475
Provider Name
MR. RUSSELL DAVID HOLCOMB LCPO
Gender
Male
Entity Type
Individual
Location Address
95 HICKORY SPRINGS IND DR CANTON, GA 30115
Location Phone
(770) 345-6899
Location Fax
(770) 345-7341
Mailing Address
95 HICKORY SPRINGS INDUSTRIAL DR CANTON, GA 30115
Mailing Phone
(770) 345-6899
Mailing Fax
(770) 345-7341
Is Sole Proprietor?
No
Enumeration Date
01-02-2007
Last Update Date
09-11-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Prosthetist

Taxonomy Code
224P00000X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.
003
License State
GA
Taxonomy Description
A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1222Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Orthotist

003 (GA)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
7700620MEDICAID (05)NC 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1477610475, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
7
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
1
Unchanged
Pos 7
0
Doubled → 0
Pos 8
4
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 6 → 12 → 3 0 → 0 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 1 + 4 + 7 + 1 + 2 + 1 + 0 + 4 + 1 + 4 + 24 = 55

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 55 is 60. The difference is the calculated check digit.

60 - 55 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1477610475.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Prosthetic/Orthotic Supplier
95 HICKORY SPRINGS IND DR
CANTON, GA 30115
Prosthetist
95 HICKORY SPRINGS IND DR
CANTON, GA 30115

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1477610475, enumerated as an "individual" on January 02, 2007.

The provider is located at 95 HICKORY SPRINGS IND DR CANTON, GA 30115 and the phone number is (770) 345-6899.

Prosthetist with taxonomy code 224P00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.