Effingham Orthopedic Practice LLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

EFFINGHAM ORTHOPEDIC PRACTICE LLC

Practice address

613 Towne Park Dr W
Suite 303-304
Rincon, GA 31326-5182

Phone

(912) 355-6615

Fax

(912) 351-0645

NPI assigned

Mar 9, 2017

Organization subpart

Yes

Parent organization

EFFINGHAM ORTHOPEDIC PRACTICE LLCAs reported in NPPES

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

Authorized official

Name

Francine Baker-Witt

Title

Ceo & Nursing Home Administrator

Phone

(912) 754-0142

Specialties & licenses 1

Addresses

Other names 1

• Effingham Chatham Sports Medicine Doing business as

Part of

Effingham Orthopedic Practice LLC

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Effingham Orthopedic Practice, LLC

  • Orthopaedic Surgery Physician
  • Rincon, GA
  • NPI 1013459551
  NPPES parent name

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

{
    "created_epoch": "1489017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489017600000",
    "number": "1063953149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "459 HIGHWAY 119 S",
            "city": "SPRINGFIELD",
            "state": "GA",
            "postal_code": "313293021",
            "telephone_number": "912-754-0175",
            "fax_number": "912-754-6395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 TOWNE PARK DR W",
            "address_2": "SUITE 303-304",
            "city": "RINCON",
            "state": "GA",
            "postal_code": "313265182",
            "telephone_number": "912-355-6615",
            "fax_number": "912-351-0645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EFFINGHAM ORTHOPEDIC PRACTICE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EFFINGHAM ORTHOPEDIC PRACTICE LLC",
        "enumeration_date": "2017-03-09",
        "last_updated": "2017-03-09",
        "status": "A",
        "authorized_official_last_name": "BAKER-WITT",
        "authorized_official_first_name": "FRANCINE",
        "authorized_official_title_or_position": "CEO & NURSING HOME ADMINISTRATOR",
        "authorized_official_telephone_number": "912-754-0142"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Effingham Chatham Sports Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Effingham Eye Care
• Effingham Hospital, Inc.
• Effingham Hospital, Inc.
• Effingham Hospital, Inc.
• Effingham Hospital, Inc.
• Effingham Orthopedic Practice, LLC
• Effingham Rehab Services, LLC
• Effingham Rehab Services, LLC
• Effingham Urology, LLC
• Effingham Vascular Center, LLC

• Specialist in Rincon, GA
• Providers in Rincon, GA by specialty
• Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2017; 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.