Active NPI
North Georgia Orthopaedic Center
- Orthopaedic Surgery Physician
- Cumming, GA
National Provider Identifier
1366655672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- NORTH GEORGIA ORTHOPAEDIC CENTER
- Practice address
- 634 Peachtree Pkwy
Ste. 100
Cumming, GA 30041-9782 - Phone
- (770) 889-7465
- Fax
- (770) 781-9369
- NPI assigned
- May 7, 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
- Linca Carol Jackson, MD
- Title
- Owner
- Phone
- (770) 889-7465
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | GA | Primary |
Addresses
Primary practice location
634 Peachtree Pkwy
Ste. 100
Cumming, GA 30041-9782
Mailing address
634 Peachtree Pkwy
Ste. 100
Cumming, GA 30041-9782
Phone (770) 889-7465
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DA9397 | Other | GA | RAILROAD MEDICARE |
National Provider Directory
National Provider DirectoryLocations
1230 Bald Ridge Marina Rd
Ste C
Cumming, GA 30041
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
- Pittston, PA
- NPI 1821181991
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178496000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1210809600000",
"number": "1366655672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "634 PEACHTREE PKWY",
"address_2": "STE. 100",
"city": "CUMMING",
"state": "GA",
"postal_code": "300419782",
"telephone_number": "770-889-7465",
"fax_number": "770-781-9369"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "634 PEACHTREE PKWY",
"address_2": "STE. 100",
"city": "CUMMING",
"state": "GA",
"postal_code": "300419782",
"telephone_number": "770-889-7465",
"fax_number": "770-781-9369"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH GEORGIA ORTHOPAEDIC CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-07",
"last_updated": "2008-05-15",
"status": "A",
"authorized_official_last_name": "JACKSON",
"authorized_official_first_name": "LINCA",
"authorized_official_middle_name": "CAROL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "770-889-7465",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": "GA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "DA9397",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cumming, GA
- North Georgia Counseling Group, LLC
- North Georgia Diabetes and Endocrinology
- North Georgia Hand Therapy, LLC
- North Georgia Homecare Services, LLC
- North Georgia Medical Solutions Corp.
- North Georgia Pathology
- North Georgia Physical Medicine
- North Georgia Psychiatric Wellness Center LLC
- North Georgia Pulmonary and Critical Care, LLC
- North Georgia Radiation
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.