ALBEMARLE ORTHOTICS & PROSTHETICS, INC – NPI #1124096292
Durable Medical Equipment & Medical Supplies

ALBEMARLE ORTHOTICS & PROSTHETICS, INC is a DME supplier located in ELIZABETH CITY, NC. NPPES has assigned the NPI number 1124096292 to ALBEMARLE ORTHOTICS & PROSTHETICS, INC on March 14, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The former legal business name for this organization is COASTAL CAROLINA PROSTHETICS & ORTHOTICS, INC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 332BC3200X from the Health Care Provider Taxonomy code set, which is classified as Durable Medical Equipment & Medical Supplies, specializing in Customized Equipment

The NPI profile was previously updated about 5 years ago on Dec 09, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ALBEMARLE ORTHOTICS & PROSTHETICS, INC below.

NPI Profile for
ALBEMARLE ORTHOTICS & PROSTHETICS, INC

NPI Number
1124096292
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ALBEMARLE ORTHOTICS & PROSTHETICS, INC
Former Legal Business Name: COASTAL CAROLINA PROSTHETICS & ORTHOTICS, INC
Primary location
106 MEDICAL DRIVE
ELIZABETH CITY, NC 27909
Phone: (252) 338-3002 Fax: (252) 338-2902
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
KIMBERLY WILLIAMSON
OWNER
Phone: (252) 338-3002
Updated
Certification Date
Dec 09, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for ALBEMARLE ORTHOTICS & PROSTHETICS, INC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBCBSNC0482P
OTHERBCBSVA384410
MEDICAIDNC7701327
MEDICAIDVA9190511
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
332BC3200X
- Durable Medical Equipment & Medical Supplies / Customized Equipment (Primary)		 NC
335E00000X
- Prosthetic/Orthotic Supplier
332B00000X
- Durable Medical Equipment & Medical Supplies

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.