ATLANTIC PROSTHETIC SERVICES
NPI 1932230828
Durable Medical Equipment & Medical Supplies - Customized Equipment in Wilmington, NC

NPI Status: Active since March 09, 2007

Contact Information

1142 SHIPYARD BLVD
WILMINGTON, NC
ZIP 28412
Phone: (910) 350-0067
Fax: (910) 350-0065

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  • Organization
  • Durable Medical Equipment & Medical Supp...
  • Customized Equipment
  • Accepts Insurance
  • Medicare Supplier
  • Accepts Medicare Approved Payment

About ATLANTIC PROSTHETIC SERVICES

This page provides the complete NPI Profile along with additional information for Atlantic Prosthetic Services, a provider established in Wilmington, North Carolina operating as a Durable Medical Equipment & Medical Supplies, focusing in customized equipment . The healthcare provider is registered in the NPI registry with number 1932230828 assigned on March 2007. The practitioner's primary taxonomy code is 332BC3200X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Atlantic Prosthetic Services. The authorized official of this NPI record is Jeffrey Mcdonald Cp Bocp (President)

NPI
1932230828
Provider Legal Name
AXIS PROSTHETICS AND ORTHOTICS, INC
Other Organization Name
ATLANTIC PROSTHETIC SERVICES
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1142 SHIPYARD BLVD WILMINGTON, NC 28412
Location Phone
(910) 350-0067
Location Fax
(910) 350-0065
Mailing Address
1142 SHIPYARD BLVD WILMINGTON, NC 28412
Mailing Phone
(910) 350-0067
Mailing Fax
(910) 350-0065
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-09-2007
Last Update Date
10-11-2023
Code Navigator



Atlantic Prosthetic Services is a medicare supplier with PTAN 20614235 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Orthoses: Custom Fabricated or Orthoses: Prefabricated (Non-Custom Fabricated) or Orthoses: Off-The-Shelf or Breast Prostheses and/or Accessories or Limb Prostheses or Diabetic Shoes and Inserts or Diabetic Shoes/Inserts - Custom or Lymphedema Compression Treatment Items.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Durable Medical Equipment & Medical Supplies Customized Equipment

Taxonomy Code
332BC3200X
Type
Suppliers

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1335E00000XSuppliers

Prosthetic/Orthotic Supplier

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Bronze 2 Advanced HSA: Aetna network + MinuteClinic + Virtual Primary Care - HMO
  • Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Silver 5 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Adult Dental+Vision - HMO
  • Blue Advantage Bronze Basic | 3 Free PCP | $20 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
  • Blue Advantage Bronze Complete | $60 PCP | $20 Tier 1 Rx | Nationwide Doctors - PPO
  • Blue Advantage Bronze Standard | Nationwide Doctors - PPO
  • Blue Advantage Gold Premier | 3 Free PCP | $10 Tier 1 Rx | Nationwide Doctors - PPO
  • Blue Advantage Gold Standard | Nationwide Doctors - PPO
  • Blue Advantage Silver Choice | 3 Free PCP | $15 Tier 1 Rx | Nationwide Doctors - PPO
  • Blue Advantage Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
  • Blue Advantage Silver Standard | Nationwide Doctors - PPO
  • Blue Care Bronze Standard | Statewide Doctors - HMO
  • Blue Care Gold Standard | Statewide Doctors - HMO
  • Blue Care Silver Standard | Statewide Doctors - HMO
  • Blue Home Bronze Basic | 3 Free PCP | $20 Tier 1 Rx | Integrated | with Novant Health - EPO
  • Blue Home Bronze Standard | with Novant Health - EPO
  • Blue Home Gold Premier | 3 Free PCP | $10 Tier 1 Rx | with Novant Health - EPO
  • Blue Home Gold Standard | with Novant Health - EPO
  • Blue Home Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | with Novant Health - EPO
  • Blue Home Silver Standard | with Novant Health - EPO
  • Blue Local Bronze Basic | 3 Free PCP | $20 Tier 1 Rx | Integrated | with Atrium Health - EPO
  • Blue Local Bronze Complete | $60 PCP | $20 Tier 1 Rx | with Atrium Health - EPO
  • Blue Local Bronze Standard | with Atrium Health - EPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JEFFREY MCDONALD CP BOCP

Authorized Official Title
PRESIDENT
Authorized Official Phone
(910) 350-0067

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
7703733MEDICAID (05)NC 
046M8OTHER (01)NCBCBS
7704938MEDICAID (05)NC 

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20614235
Accepts Medicare Assignment
YES
Specialities List
Orthotic Personnel, Prosthetic Personnel.
Competitive Bidding
NO

Supplies List

  • Orthoses: Custom Fabricated - Custom met pads, Custom heel pads, Custom heel spur pads
  • Orthoses: Prefabricated (Non-Custom Fabricated) - Met pads, Heel pads, Heel spur pads
  • Orthoses: Off-The-Shelf - Met pads, Heel pads, Heel spur pads
  • Breast Prostheses and/or Accessories - Prosthetic bra, Surgical bra
  • Limb Prostheses - Prosthetic arms, Prosthetic feet, Prosthetic knees
  • Diabetic Shoes and Inserts - Shoes, Socks, Insoles
  • Diabetic Shoes/Inserts - Custom - Custom fabricated shoes, socks, & insoles
  • Lymphedema Compression Treatment Items -

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1932230828
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
296243084
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 6 + 2 + 4 + 3 + 0 + 8 + 4 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1932230828 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1740261734 JEFFREY LAYNE MCDONALD CP
Individual
Specialist1142 SHIPYARD BLVD
WILMINGTON, NC 28412
(910) 350-0067
1952432858 TIFFANY JAMERSON CFM, CFTS
Individual
Specialist1142 SHIPYARD BLVD
WILMINGTON, NC 28412
(910) 350-0067
1679778591 ROBERT EDWARD COLLINS JR. C.O.
Individual
Orthotist1142 SHIPYARD BLVD
WILMINGTON, NC 28412
(910) 350-0067
1285949875 MICHELLE L SMITH CFM
Individual
Orthotic Fitter1142 SHIPYARD BLVD
WILMINGTON, NC 28412
(910) 350-0067
1497131619MR. MICHAEL POLOMIK CPO
Individual
Prosthetist1142 SHIPYARD BLVD
WILMINGTON, NC 28412
(910) 350-0067

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1932230828, enumerated in the NPI registry as an "organization" on March 09, 2007

The provider is located at 1142 Shipyard Blvd Wilmington, Nc 28412 and the phone number is (910) 350-0067

This medical organization specializes in Durable Medical Equipment & Medical Supplies with taxonomy code 332BC3200X with a focus in Customized Equipment

The provider might be accepting Accepts: Aetna CVS Health, Blue Cross and Blue Shield of. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on March 09, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.