MEDICARE: LIMBCARE PROSTHETICS & ORTHOTICS OF GA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	335E00000X	Prosthetic/Orthotic Supplier

General Provider Information

NPI Number	:	1396014528
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LIMBCARE PROSTHETICS & ORTHOTICS OF GA

Provider Business Mailing Address
First Line	:	1919 PALMYRA RD
Second Line	:
City	:	ALBANY
State	:	GA
Zip	:	31701-1574
Country	:	US
Telephone Number	:	229-789-0350
Fax Number	:	229-789-0353

Provider Business Practice Location Address
First Line	:	1919 PALMYRA RD
Second Line	:
City	:	ALBANY
State	:	GA
Zip	:	31701-1574
Country	:	US
Telephone Number	:	229-789-0350
Fax Number	:	229-789-0353

Authorized Official
Title or Position	:	OWNER/CEO
Name	:	MR. JOHN PATRICK RODMAN SR.
Credential	:	CPO
Telephone Number	:	229-430-9778

Provider Enumeration Date	:	12/16/2011
Last Update Date	:	03/02/2026

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