AMPUTEE PROSTHETIC CLINIC
NPI 1578590972
Prosthetic/Orthotic Supplier in Tifton, GA

Active since June 28, 2006
805 CAMDEN WAY, TIFTON, GA 31794(229) 387-6600(229) 387-7800 Get Directions Write a Review

NPPES record last updated: January 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Amputee Prosthetic Clinic NPPES

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

AMPUTEE PROSTHETIC CLINIC (NPI 1578590972) is a healthcare organization registered as a prosthetic/orthotic supplier in Tifton, Georgia and active in the NPI registry since June 2006. The organization lists Pam S Young, Off. Manager/owner, as its authorized official.

NPPES Registry Identity

NPI1578590972
Entity TypeOrganization
Primary Taxonomy335E00000X
Legal Business NameAMPUTEE PROSTHETIC CLINIC, CO.
Location Address805 CAMDEN WAYTifton, GA 31794-8093
Mailing Address4900 Mercer University DrMacon, GA 31210-6239 · (478) 474-5678 · Fax (478) 474-5018
Fax(229) 387-7800
Organization SubpartNo
Authorized OfficialPam S YoungOff. Manager/owner · (478) 474-5678
Enumeration DateJune 28, 2006
Last NPPES UpdateJanuary 19, 2024
NPPES CertifiedJanuary 19, 2024
NPI 1578590972 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.
805 CAMDEN WAY, Tifton, GA 31794

Other Names 1

Other NameAmputee Prosthetic Clinic

Other Identifiers 2

Other6016598GA · Dept. Of Labor
Medicaid408774069AGA

Accepted Insurance

Medical Equipment Supplier Medicare DMEPOS 3

Medicare supplier enrollment and the product categories Amputee Prosthetic Clinic Co carries, from the Medicare DMEPOS supplier directory.

Amputee Prosthetic Clinic Co

DMEPOS supplier · Tifton, GAOperated by Amputee Prosthetic Clinic, Company

Does not accept Medicare assignment

Amputee Prosthetic Clinic Co has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20578445
Medicare Participant SinceJuly 25, 2005
Supplier Location805 Camden WayTifton, GA 31794
Supplier Specialties
Prosthetic Personnel

Medicare Product Categories

Orthoses: Off-The-Shelf
Met pads, Heel pads, Heel spur pads
Breast Prostheses and/or Accessories
Prosthetic bra, Surgical bra
Limb Prostheses
Prosthetic arms, Prosthetic feet, Prosthetic knees
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 Amputee Prosthetic Clinic, Co.'s NPI number?

The NPI number for Amputee Prosthetic Clinic, Co. is 1578590972. It was assigned to this organization in the NPPES registry on June 28, 2006. The provider is also known as Amputee Prosthetic Clinic.

Where is Amputee Prosthetic Clinic, Co. located?

Amputee Prosthetic Clinic, Co. is located at 805 Camden Way, Tifton, GA 31794. The listed phone number is (229) 387-6600.

What is Amputee Prosthetic Clinic, Co.'s specialty?

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

Does Amputee Prosthetic Clinic, Co. accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Amputee Prosthetic Clinic Co does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

What insurance does Amputee Prosthetic Clinic, Co. accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Amputee Prosthetic Clinic, Co. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Amputee Prosthetic Clinic, Co. was last updated on January 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.