Active NPI
Sutton Orthopaedics & Sports Medicine PC
- Sports Medicine (Orthopaedic Surgery) Physician
- Fayetteville, GA
National Provider Identifier
1124165964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Orthopaedic Surgery) Physician
- Legal business name
- SUTTON ORTHOPAEDICS & SPORTS MEDICINE PC
- Practice address
- 500 W Lanier Ave
Suite 506
Fayetteville, GA 30214-7636 - Phone
- (770) 389-8386
- Fax
- (770) 507-9576
- NPI assigned
- Jan 31, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joseph Carl Sutton Jr., M.D.
- Title
- President
- Phone
- (770) 389-8386
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | Primary |
Addresses
Primary practice location
500 W Lanier Ave
Suite 506
Fayetteville, GA 30214-7636
Mailing address
145 Medical Blvd
Stockbridge, GA 30281-5083
Phone (770) 389-8386
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040426000297 | GA | Part B Supplier - Clinic/Group Practice | 2466448295 |
Receives reassigned benefits from 3 practitioners 2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Fayetteville, GA |
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Stockbridge, GA
- NPI 1902822505
O20040426000297
-
- Durable Medical Equipment & Medical Supplies
- Fayetteville, GA
- NPI 1962629360
O20040426000297
National Provider Directory
National Provider Directory- Tax ID family
- Sutton Orthopaedics Sports Medicine PC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Stockbridge, GA
- NPI 1902822505
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170201600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1198108800000",
"number": "1124165964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "145 MEDICAL BLVD",
"city": "STOCKBRIDGE",
"state": "GA",
"postal_code": "302815083",
"telephone_number": "770-389-8386",
"fax_number": "770-507-9576"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 W LANIER AVE",
"address_2": "SUITE 506",
"city": "FAYETTEVILLE",
"state": "GA",
"postal_code": "302147636",
"telephone_number": "770-389-8386",
"fax_number": "770-507-9576"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUTTON ORTHOPAEDICS & SPORTS MEDICINE PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-31",
"last_updated": "2007-12-20",
"status": "A",
"authorized_official_last_name": "SUTTON",
"authorized_official_first_name": "JOSEPH",
"authorized_official_middle_name": "CARL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "770-389-8386",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207XX0005X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.