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Active NPI 1477610475 Individual Practitioner Male Practitioner

Russell David Holcomb , LCPO

Prosthetist • Canton, GA

Professional Overview & Biography Verified Profile Summary

Russell Holcomb, LCPO is a registered healthcare professional specializing in Prosthetist in Canton, GA. Practice services are available at 95 HICKORY SPRINGS IND DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

95 Hickory Springs Ind Dr

Canton, GA 301157933

Telephone 7703456899
Fax 7703457341
Associated Practice Facility / Clinic
🏢 United Artificial Limb Facility NPI 1730246653

Specialty Benchmarks & Practice Insights

Comparative analytics for Prosthetist in Canton, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
2 Specialists

Practicing in Canton, GA (84 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Prosthetist Primary Specialty

NUCC Taxonomy Code: 224P00000X

State License GA 003

A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.

Orthotist

NUCC Taxonomy Code: 222Z00000X

State License GA 003

A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
7700620 (NC)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1770640633

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 95 HICKORY SPRINGS IND DR, CANTON, GA 301157933 (Tel: 7703456899)

📍
Updated Business Mailing Address July 08, 2007

Registered at 95 HICKORY SPRINGS INDUSTRIAL DR, CANTON, GA 301157933 (Tel: 7703456899)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as RUSSELL HOLCOMB, LCPO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Orthotist (License #003 in GA)

🟢
Initial NPI Registration & Enumeration January 02, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1477610475
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 02, 2007
Last Update: September 11, 2025
Sole Proprietor: No

Mailing Address

95 Hickory Springs Industrial Dr

Canton, GA 301157933

Phone: 7703456899

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.