Organization Active NPI

Star Orthopedics and Spine of Georgia LLC.

  • Neurological Surgery Physician
  • Atlanta, GA
National Provider Identifier
1407542269
Registry record updated Apr 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
STAR ORTHOPEDICS AND SPINE OF GEORGIA LLC.
Practice address
1720 Phoenix Blvd Ste 800
Atlanta, GA 30349-5596
Phone
(404) 348-2750
NPI assigned
Apr 14, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2023

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

Authorized official

Name
Hillary Koerner
Title
Coo
Phone
(561) 908-3200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207T00000X Primary

Addresses

Primary practice location

1720 Phoenix Blvd Ste 800
Atlanta, GA 30349-5596

Mailing address

1720 Phoenix Blvd Ste 800
Atlanta, GA 30349-5596
Phone (404) 348-2750

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1681430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681430400000",
    "number": "1407542269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 PHOENIX BLVD STE 800",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303495596",
            "telephone_number": "404-348-2750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 PHOENIX BLVD STE 800",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303495596",
            "telephone_number": "404-348-2750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR ORTHOPEDICS AND SPINE OF GEORGIA LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-14",
        "last_updated": "2023-04-14",
        "certification_date": "2023-04-14",
        "status": "A",
        "authorized_official_last_name": "KOERNER",
        "authorized_official_first_name": "HILLARY",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "561-908-3200"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "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 Apr 14, 2023; 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.