Active NPI
Premier Orthopaedic Surgery, LLC
- Orthopaedic Surgery Physician
- Suwanee, GA
National Provider Identifier
1376602565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- PREMIER ORTHOPAEDIC SURGERY, LLC
- Practice address
- 7360 McGinnis Ferry Rd
Suite E
Suwanee, GA 30024-6603 - Phone
- (678) 513-8111
- Fax
- (678) 990-1956
- NPI assigned
- Dec 6, 2006
- Last updated
- Aug 15, 2008
- 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
- Wanda Hayes
- Title
- Office Manager
- Phone
- (678) 513-8111
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | NU | Primary | |
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | NU | ||
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | NU |
Addresses
Primary practice location
7360 McGinnis Ferry Rd
Suite E
Suwanee, GA 30024-6603
Mailing address
7360 McGinnis Ferry Rd
Suite E
Suwanee, GA 30024-6603
Phone (678) 513-8111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300044591A | Medicaid | GA |
National Provider Directory
National Provider DirectoryLocations
7360 McGinnis Ferry Rd
Ste E
Suwanee, GA 30024
Phone (678) 513-8111
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Orthopaedic Surgery of the Spine Physician
- Lawrenceville, GA
- NPI 1801810932
-
- Orthopaedic Surgery Physician
- Johns Creek, GA
- NPI 1831112960
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165363200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1218758400000",
"number": "1376602565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7360 MCGINNIS FERRY RD",
"address_2": "SUITE E",
"city": "SUWANEE",
"state": "GA",
"postal_code": "300246603",
"telephone_number": "678-513-8111",
"fax_number": "678-990-1956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7360 MCGINNIS FERRY RD",
"address_2": "SUITE E",
"city": "SUWANEE",
"state": "GA",
"postal_code": "300246603",
"telephone_number": "678-513-8111",
"fax_number": "678-990-1956"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREMIER ORTHOPAEDIC SURGERY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-06",
"last_updated": "2008-08-15",
"status": "A",
"authorized_official_last_name": "HAYES",
"authorized_official_first_name": "WANDA",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "678-513-8111"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "207XS0117X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300044591A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Suwanee, GA
- Powerhouse Therapy
- Liudmila Poznyak, DMD
- Precision Care Management, LLC
- Preferred Physicians Group LLC
- Premier Caregivers LLC
- Premise Health of Georgia Medical PC (Price Industries - Suwanee)
- Dawn Michelle Preseau, RBT
- Areigna Marie Preston, OMT, LMT, BCTMB
- Pri X-Ray, L.L.C.
- Primacare Rehabilitation P.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 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.