MAYA LAKE
NPI 1518675727
Prosthetic/Orthotic Supplier in Atlanta, GA

Q: What is Maya Lake's NPI number?

The NPI number for Maya Lake is 1518675727. It was assigned to this individual provider in the NPPES registry on November 8, 2022.

Q: What is Maya Lake's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Maya Lake was last updated on November 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since November 08, 2022

2053 METROPOLITAN PKWY SW STE A, ATLANTA, GA 30315(404) 600-3830 Get Directions Write a Review

NPPES record last updated: November 8, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Maya Lake NPPES

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

MAYA LAKE (NPI 1518675727) is an individual prosthetic/orthotic supplier provider in Atlanta, Georgia and active in the NPI registry since November 2022.

NPPES Registry Identity

NPI1518675727

Entity TypeIndividualFemale

Primary Taxonomy335E00000X

Provider Legal NameMAYA LAKE

Location Address2053 METROPOLITAN PKWY SW STE AAtlanta, GA 30315-5926

Mailing Address2973 Headland Dr Sw Ste DAtlanta, GA 30311-5434 · (404) 600-3830

Phone(404) 600-3830

Sole ProprietorYes

Enumeration DateNovember 8, 2022

NPPES CertifiedNovember 8, 2022

✔ NPI 1518675727 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.

2053 METROPOLITAN PKWY SW STE A, Atlanta, GA 30315

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Other Providers at the Same Location NPPES

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

MS. SEAIRRA HULBERT

Specialist

2053 METROPOLITAN PKWY SW STE A
ATLANTA, GA 30315

Fulton County (770) 988-6978

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 Maya Lake's NPI number?

The NPI number for Maya Lake is 1518675727. It was assigned to this individual provider in the NPPES registry on November 8, 2022.

Where is Maya Lake located?

Maya Lake practices at 2053 Metropolitan Pkwy SW Ste A, Atlanta, GA 30315. The listed phone number is (404) 600-3830.

What is Maya Lake'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 Maya Lake was last updated on November 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.