PROSTHETIC CIRCLE OF CARE, LLC – Specialist, NPI 1609513464
Specialist
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for PROSTHETIC CIRCLE OF CARE, LLC
2626 Capital Medical Blvd
Tallahassee, FL 323084402
Phone: (912) 421-3747
Type: Location
81 Peachtree Park Dr NE Ste A
Atlanta, GA 303091303
Phone: (912) 421-3747
Fax: (912) 428-7942
Type: Location
104 E Le Claire Rd
Eldridge, IA 527481783
Phone: (912) 421-3747
Type: Location
120 SE 6th Ave Ste 3-118B
Topeka, KS 666033519
Phone: (912) 421-3747
Fax: (912) 428-7942
Type: Location
3443 Dickerson Pike Ste 230
Nashville, TN 372072522
Phone: (912) 421-3747
Type: Location
3800 Ridgeway Dr
Birmingham, AL 352095506
Phone: (912) 421-3747
Type: Location
457 E Madison St
Houston, MS 388512308
Phone: (912) 421-3747
Type: Location
5501 ABERCORN ST
PMB 237
SAVANNAH, GA 314056911
Phone: (912) 231-7482
Fax: (912) 428-7942
Type: Mailing
5501 ABERCORN STREET PMB 237
SAVANNAH, GA 31405
Phone: (912) 231-7482
Fax: (912) 428-7942
Type: Location
5507 ABERCORN ST STE 103
SAVANNAH, GA 314056912
Phone: (912) 421-3747
Fax: (912) 428-7942
Type: Mailing
6510 SEAWRIGHT DR
SAVANNAH, GA 314062752
Phone: (912) 421-3747
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-01-22
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 7 Medicare enrollment records; no due dates published yet.
Enrollment records
7
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20220929003083 | O | Clinic/Group Practice | GA | TBD |
| O20221219002746 | O | Clinic/Group Practice | TN | TBD |
| O20230105002603 | O | Clinic/Group Practice | AL | TBD |
| O20231108000217 | O | Clinic/Group Practice | MS | TBD |
| O20240606003082 | O | Clinic/Group Practice | KS | TBD |
| O20240725000750 | O | Clinic/Group Practice | IA | TBD |
| O20250122003606 | O | Clinic/Group Practice | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32308)
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