DYNAMICS ORTHOTICS AND PROSTHETICS LLC
NPI 1790801041
Durable Medical Equipment & Medical Supplies in Mableton, GA

Active since March 21, 2007
5701 MABLETON PKWY SW STE 102, MABLETON, GA 30126(678) 398-8710(678) 398-8711 Get Directions Write a Review

NPPES record last updated: August 16, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Durable Medical Equipment & Medical Supp...

About DYNAMICS ORTHOTICS AND PROSTHETICS LLC

This page provides the complete NPI Profile along with additional information for Dynamics Orthotics And Prosthetics Llc, a provider established in Mableton, Georgia operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1790801041 assigned on March 2007. The practitioner's primary taxonomy code is 332B00000X with license number 2007#120651 (GA). The provider is registered as an organization and their NPI record was last updated 16 years ago. The authorized official of this NPI record is Mr. M Maxwell Fitzgerald (Ceo)

NPI
1790801041 Verify this NPI
Provider Name
DYNAMICS ORTHOTICS AND PROSTHETICS LLC
Entity Type
Organization
Location Address
5701 MABLETON PKWY SW STE 102 MABLETON, GA 30126
Location Phone
(678) 398-8710
Location Fax
(678) 398-8711
Mailing Address
4599 SOMERSET RD SW SMYRNA, GA 30082
Mailing Phone
(770) 953-4877
Mailing Fax
(770) 988-8958
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-21-2007
Last Update Date
08-16-2010
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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

Durable Medical Equipment & Medical Supplies

Taxonomy Code
332B00000X
Type
Suppliers
License No.
2007#120651
License State
GA
Taxonomy Description
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. M MAXWELL FITZGERALD

Authorized Official Title
CEO
Authorized Official Phone
(770) 953-4877

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
5936130001MEDICARE NSC (07)GA 

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790801041, enumerated as an "organization" on March 21, 2007.

The provider is located at 5701 MABLETON PKWY SW STE 102 MABLETON, GA 30126 and the phone number is (678) 398-8710.

Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

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