Amputee Prosthetic Clinic, Co.
NPI 1578590972 · Prosthetic/Orthotic Supplier · Tifton, GA
Enrolled with Medicare as Dme Supplier - Prosthetic Personnel · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Amputee Prosthetic Clinic, Co. is a Prosthetic/Orthotic Supplier organization in Tifton, GA (NPI 1578590972).
Provider details
- NPI number
- 1578590972
- Entity type
- Organization
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Pam Young, Off. Manager/Owner(478) 474-5678
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Other name
- Amputee Prosthetic Clinic
Registry dates
- Enumerated
- 2006-06-28
- Last updated
- 2024-01-19
- Certified
- 2024-01-19
Frequently asked questions
- What is Amputee Prosthetic Clinic, Co.'s NPI number?
- Amputee Prosthetic Clinic, Co.'s National Provider Identifier (NPI) is 1578590972, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Amputee Prosthetic Clinic, Co.?
- Amputee Prosthetic Clinic, Co. is classified in the NPPES registry as Prosthetic/Orthotic Supplier (Suppliers).
- Where is Amputee Prosthetic Clinic, Co. located?
- Amputee Prosthetic Clinic, Co.'s practice location on file with NPPES is 805 Camden Way, Tifton, GA 31794-8093.
- What is Amputee Prosthetic Clinic, Co.'s phone number?
- The practice phone number listed in the NPPES registry for Amputee Prosthetic Clinic, Co. is (229) 387-6600.
- Does Amputee Prosthetic Clinic, Co. accept Medicare?
- Amputee Prosthetic Clinic, Co. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Amputee Prosthetic Clinic, Co.?
- The authorized official listed on Amputee Prosthetic Clinic, Co.'s NPPES record is Pam Young, Off. Manager/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Amputee Prosthetic Clinic, Co.'s NPI active?
- Yes — Amputee Prosthetic Clinic, Co.'s NPI (1578590972) is active in the NPPES registry as of the last update on 2024-01-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.