Orthosports Associates, LLC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

ORTHOSPORTS ASSOCIATES, LLC

Practice address

150 Gilbreath Dr
Oneonta, AL 35121-2827

Phone

(205) 838-4747

NPI assigned

Jan 27, 2021

Organization subpart

Yes

Parent organization

ORTHOSPORTS ASSOCIATES, LLCAs reported in NPPES

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

Authorized official

Name

Lori W Sills

Title

Office Manager

Phone

(205) 939-0447

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

Orthosports Associates LLC

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

{
    "created_epoch": "1611705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611705600000",
    "number": "1437740008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 SAINT VINCENTS DR STE 403",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352051614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 GILBREATH DR",
            "city": "ONEONTA",
            "state": "AL",
            "postal_code": "351212827",
            "telephone_number": "205-838-4747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOSPORTS ASSOCIATES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ORTHOSPORTS ASSOCIATES, LLC",
        "enumeration_date": "2021-01-27",
        "last_updated": "2021-01-27",
        "certification_date": "2021-01-27",
        "status": "A",
        "authorized_official_last_name": "SILLS",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "205-939-0447"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127553",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dorothy Ellene Nichols, CRNP
• Nna of Alabama, Inc.
• Ashley Lane Nolen, CRNP
• Abbey Oliver, CCC-SLP
• Oneonta City
• Shivani K Pandit, D.D.S.
• Mario B Papagni, MD
• Caroline Richelle Parker, M.S., CCC-SLP
• Daniel Lee Parkins, PHARM.D.
• Pharmacy Inc

• Orthopaedic Surgery Physician in Oneonta, AL
• Providers in Oneonta, AL by specialty
• Orthopaedic Surgery Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2021; 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.