Organization Active NPI

Canton Orthopaedics and Sports Medicine, P.C.

  • Orthopaedic Surgery Physician
  • Canton, GA
National Provider Identifier
1225186992
Registry record updated Sep 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
CANTON ORTHOPAEDICS AND SPORTS MEDICINE, P.C.
Practice address
230 Marietta Hwy
Suite 100
Canton, GA 30114-2311
Phone
(770) 479-4777
Fax
(770) 479-9491
NPI assigned
Jan 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2009

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

Authorized official

Name
Dr. Douglas W Clanton, MDNPI 1477537934
Title
Ceo Physician
Phone
(770) 479-4777

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

230 Marietta Hwy
Suite 100
Canton, GA 30114-2311

Mailing address

230 Marietta Hwy
Suite 100
Canton, GA 30114-2311
Phone (770) 479-4777

National Provider Directory

National Provider Directory

Locations

230 Marietta Hwy
Ste 100
Canton, GA 30114
Phone (404) 479-4777

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254268800000",
    "number": "1225186992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 MARIETTA HWY",
            "address_2": "SUITE 100",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301142311",
            "telephone_number": "770-479-4777",
            "fax_number": "770-479-9491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 MARIETTA HWY",
            "address_2": "SUITE 100",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301142311",
            "telephone_number": "770-479-4777",
            "fax_number": "770-479-9491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANTON ORTHOPAEDICS AND SPORTS MEDICINE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2009-09-30",
        "status": "A",
        "authorized_official_last_name": "CLANTON",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CEO     PHYSICIAN",
        "authorized_official_telephone_number": "770-479-4777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2009; 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.