Georgia Sports Orthopedic Specialists

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

Legal business name

GEORGIA SPORTS ORTHOPEDIC SPECIALISTS

Practice address

1466 Jesse Jewell Pkwy SE
Gainesville, GA 30501-3852

Phone

(770) 532-0503

Fax

(770) 532-2284

NPI assigned

Jan 24, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Heather A Couch

Title

Cma, Adminisrtative

Phone

(770) 532-0503

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bradley Roy Noon, M.D.

  • Family Medicine Physician
  • Irvine, CA
  • NPI 1740209014

  Sports Medicine

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053466615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1466 JESSE JEWELL PKWY SE",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305013852",
            "telephone_number": "770-532-0503",
            "fax_number": "770-532-2284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1466 JESSE JEWELL PKWY SE",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305013852",
            "telephone_number": "770-532-0503",
            "fax_number": "770-532-2284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA SPORTS ORTHOPEDIC SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COUCH",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CMA, ADMINISRTATIVE",
        "authorized_official_telephone_number": "770-532-0503"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Georgia Observation and Telehealth Services, LLC
• Georgia Pain and Wellness Center (Summit Spine & Joint Centers)
• Georgia Pain Physicians PC
• Georgia Pals, Inc
• Georgia Smile Team, LLC
• Georgia Sports Orthopedic Specialists, L.L.C
• Georgia Urology PA
• Georgia Urology, PA
• Georiga Pain Management & Diagnostics, LLC
• Nicole Walker Geringer, MS OTR/L

• Sports Medicine (Orthopaedic Surgery) Physician in Gainesville, GA
• Providers in Gainesville, GA by specialty
• Sports Medicine (Orthopaedic Surgery) Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.