Individual provider Active NPI

Logan Kamrath Fields, MD

  • Orthopaedic Surgery Physician
  • Athens, GA
National Provider Identifier
1073774402
Registry record updated Aug 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
71733 Issued in GA
Practice address
1765 Old West Broad St
Athens, GA 30606
Phone
(706) 549-1663
Fax
(706) 546-8792
NPI assigned
Jun 18, 2008
Last updated
Aug 9, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 71733 GA Primary

Addresses

Primary practice location

1765 Old West Broad St
Athens, GA 30606

Mailing address

1765 Old West Broad St BLDG 2-200
Athens, GA 30606-2887
Phone (706) 549-1663

Other practice location 1

5303 Adams St NE Ste A
Covington, GA 30014-6209
Phone (770) 554-5009

Other practice location 2

125 King Ave
Athens, GA 30606-6734
Phone (706) 549-1663

Other practice location 3

1774 Old West Broad St
Athens, GA 30606-2865
Phone (706) 549-1663

Other practice location 4

1553 Janmar Rd
Snellville, GA 30078-5606
Phone (770) 554-5009

Other practice location 5

3440 Highway 81
Loganville, GA 30052-9112
Phone (770) 554-5009

Other practice location 6

855 King Ave
Athens, GA 30606-2837
Phone (706) 549-1663

Other practice location 7

705 Breedlove Dr Ste 200
Monroe, GA 30655-2080
Phone (706) 549-1663

Other practice location 8

1031 Lake Country Dr
Greensboro, GA 30642-5157
Phone (706) 549-1663

Other identifiers 1

IdentifierTypeStateIssuer
12455413OtherGACAQH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address logan.fields.1@28045.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140716002199 GA Practitioner - Orthopedic Surgery 0244473122 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Medical College of Georgia School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Athens Orthopedic Clinic, PAGroup PAC ID 5991600181, 70 clinicians
Physiotherapy Associates IncGroup PAC ID 3577470442, shared by 50 NPIs, 1,432 clinicians

Practice addresses (Care Compare)

1765 Old W Broad St
Athens, GA 30606-2853
Phone (706) 549-1663

9152 Hwy 278 NE
Covington, GA 30014-7010
Phone (678) 342-9339

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)55

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Athens Orthopedic Clinic, PA Orthopaedic Surgery CurrentSince Jun 1, 2018 Accepting new patients
Athens Orthopedic Clinic, PA Orthopaedic Surgery CurrentSince Jun 1, 2018 Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients
Tuckahoe Orthopaedic Associates, LTD Orthopaedic Surgery PastSince Aug 1, 2013 Accepting new patients
Tuckahoe Orthopaedic Associates, LTD Orthopaedic Surgery PastSince Aug 1, 2013 Accepting new patients
Bon Secours Medical Group Richmond Specialty Care LLC Orthopaedic Surgery Past Accepting new patients

Locations

125 King Ave
Athens, GA 30606

1765 Old West Broad St
Athens, GA 30606
Phone (423) 541-3263

1765 Old West Broad St
Bldg 2-200
Athens, GA 30606
Phone (706) 433-4088

1765 Old West Broad St
Ste 200
Athens, GA 30606
Phone (706) 433-4088

1774 Old West Broad St
Athens, GA 30606
Phone (706) 548-6476

855 King Ave
Athens, GA 30606
Phone (706) 425-2400

5303 Adams St NE
Ste A
Covington, GA 30014
Phone (770) 554-5009

1031 Lake Country Dr
Greensboro, GA 30642

3440 Highway 81
Loganville, GA 30052
Phone (770) 554-5009

705 Breedlove Dr
Ste 200
Monroe, GA 30655
Phone (770) 207-5738

1553 Janmar Rd
Snellville, GA 30078
Phone (770) 554-5009

Interoperability endpoints

  • Direct secure messaging: lfields@aoc1036.srs-direct.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1213747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723161600000",
    "number": "1073774402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1765 OLD WEST BROAD ST BLDG 2-200",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062887",
            "telephone_number": "706-549-1663",
            "fax_number": "706-546-8792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1765 OLD WEST BROAD ST",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "30606",
            "telephone_number": "706-549-1663",
            "fax_number": "706-546-8792"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5303 Adams St NE Ste A",
            "address_purpose": "LOCATION",
            "city": "Covington",
            "state": "GA",
            "postal_code": "300146209",
            "country_code": "US",
            "telephone_number": "770-554-5009",
            "fax_number": "706-546-8792",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "125 King Ave",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "GA",
            "postal_code": "306066734",
            "country_code": "US",
            "telephone_number": "706-549-1663",
            "fax_number": "706-546-8792",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1774 Old West Broad St",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "GA",
            "postal_code": "306062865",
            "country_code": "US",
            "telephone_number": "706-549-1663",
            "fax_number": "706-546-8792",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1553 Janmar Rd",
            "address_purpose": "LOCATION",
            "city": "Snellville",
            "state": "GA",
            "postal_code": "300785606",
            "country_code": "US",
            "telephone_number": "770-554-5009",
            "fax_number": "706-546-8792",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3440 Highway 81",
            "address_purpose": "LOCATION",
            "city": "Loganville",
            "state": "GA",
            "postal_code": "300529112",
            "country_code": "US",
            "telephone_number": "770-554-5009",
            "fax_number": "706-546-8792",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "855 King Ave",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "GA",
            "postal_code": "306062837",
            "country_code": "US",
            "telephone_number": "706-549-1663",
            "fax_number": "706-546-8792",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "705 Breedlove Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "GA",
            "postal_code": "306552080",
            "country_code": "US",
            "telephone_number": "706-549-1663",
            "fax_number": "706-546-8792",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1031 Lake Country Dr",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "GA",
            "postal_code": "306425157",
            "country_code": "US",
            "telephone_number": "706-549-1663",
            "fax_number": "706-546-8792",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FIELDS",
        "first_name": "LOGAN",
        "middle_name": "KAMRATH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-18",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "GA",
            "license": "71733",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12455413",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "logan.fields.1@28045.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "Athena Direct Address",
            "address_1": "1765 Old West Broad St",
            "city": "Athens",
            "state": "GA",
            "country_code": "US",
            "postal_code": "30606",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

Verify at the official NPI Registry.