Organization Active NPI

North Georgia Orthopaedic Center

  • Orthopaedic Surgery Physician
  • Cumming, GA
National Provider Identifier
1366655672
Registry record updated May 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
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

Updated by the provider on May 15, 2008

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)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
DA9397OtherGARAILROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.