MEDICARE: LIMBCARE PROSTHETICS & ORTHOTICS OF GEORGIA INC

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	CPO1469 LPO21	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	CPO1469	OTHER	GA	CERTIFICATION NUMBER

General Provider Information

NPI Number	:	1831351634
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LIMBCARE PROSTHETICS & ORTHOTICS OF GEORGIA INC

Provider Business Mailing Address
First Line	:	1919 PALMYRA RD
Second Line	:
City	:	ALBANY
State	:	GA
Zip	:	31701-1574
Country	:	US
Telephone Number	:	229-430-9778
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	:	229-430-9778
Fax Number	:	229-789-0353

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

Provider Enumeration Date	:	07/02/2008
Last Update Date	:	03/02/2026

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