Active NPI
Specialty Orthopaedics, PC
- Orthopaedic Surgery Physician
- Braselton, GA
National Provider Identifier
1124568423
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- SPECIALTY ORTHOPAEDICS, PC
- Practice address
- 1229 Friendship Rd Ste 100
Braselton, GA 30517-5608 - Phone
- (770) 534-7200
- NPI assigned
- Mar 6, 2017
- 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
- William Weiss, M.D.
- Title
- Provider
- Phone
- (770) 534-7200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | Primary |
Addresses
Primary practice location
1229 Friendship Rd Ste 100
Braselton, GA 30517-5608
Mailing address
1240 Jesse Jewell Pkwy SE
Ste 300
Gainesville, GA 30501-3862
Phone (770) 534-7200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20201009001073 | GA | DME Supplier - Physician - General Practice | 6305805615 | Practice locations: Braselton, GA |
Other NPIs with the same Medicare PAC ID 2
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
National Provider Directory
National Provider Directory- Tax ID family
- Specialty Orthopaedics PC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Orthopaedic Surgery Physician
- Dawsonville, GA
- NPI 1184380818
-
- Orthopaedic Surgery Physician
- Duluth, GA
- NPI 1295688570
Locations
1229 Friendship Rd
#100
Braselton, GA 30517
Phone (770) 532-7202
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Gainesville, GA
- NPI 1023084258
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488758400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1651104000000",
"number": "1124568423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1240 JESSE JEWELL PKWY SE",
"address_2": "STE 300",
"city": "GAINESVILLE",
"state": "GA",
"postal_code": "305013862",
"telephone_number": "770-534-7200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1229 FRIENDSHIP RD STE 100",
"city": "BRASELTON",
"state": "GA",
"postal_code": "305175608",
"telephone_number": "770-534-7200"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPECIALTY ORTHOPAEDICS, PC",
"organizational_subpart": "NO",
"enumeration_date": "2017-03-06",
"last_updated": "2022-04-28",
"certification_date": "2022-04-28",
"status": "A",
"authorized_official_last_name": "WEISS",
"authorized_official_first_name": "WILLIAM",
"authorized_official_title_or_position": "PROVIDER",
"authorized_official_telephone_number": "770-534-7200",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Braselton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2022; 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.