Organization Active NPI

Myers Sports Medicine and Orthopaedic Center

  • Orthopaedic Surgery Physician
  • Atlanta, GA
National Provider Identifier
1386819217
Registry record updated Jul 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
MYERS SPORTS MEDICINE AND ORTHOPAEDIC CENTER
Practice address
3200 Downwood Cir NW Ste 340
Atlanta, GA 30327-1605
Phone
(404) 352-8156
Fax
(404) 350-9405
NPI assigned
Apr 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2009

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

Authorized official

Name
Regilyn Fish, ATC/L
Title
Practice Administrator
Phone
(404) 352-8156

Specialties & licenses 1

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

Addresses

Primary practice location

3200 Downwood Cir NW Ste 340
Atlanta, GA 30327-1605

Mailing address

3200 Downwood Cir NW Ste 340
Atlanta, GA 30327-1605
Phone (404) 352-8156

National Provider Directory

National Provider Directory

Locations

3280 Howell Mill Rd NW
#309E
Atlanta, GA 30327
Phone (404) 352-8156

3200 Downwood Cir NW
Ste 340
Atlanta, GA 30327
Phone (404) 352-8156

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": "1208822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248912000000",
    "number": "1386819217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 DOWNWOOD CIR NW STE 340",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303271605",
            "telephone_number": "404-352-8156",
            "fax_number": "404-350-9405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 DOWNWOOD CIR NW STE 340",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303271605",
            "telephone_number": "404-352-8156",
            "fax_number": "404-350-9405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYERS SPORTS MEDICINE AND ORTHOPAEDIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-22",
        "last_updated": "2009-07-30",
        "status": "A",
        "authorized_official_last_name": "FISH",
        "authorized_official_first_name": "REGILYN",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "404-352-8156",
        "authorized_official_credential": "ATC/L"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

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