NPIMap

Organization Active NPI

Ortho Sport & Spine Physicians Morrow

  • Orthopaedic Surgery Physician
  • Morrow, GA
National Provider Identifier
1447648977
Registry record updated Feb 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
63721 Issued in GA
Legal business name
ORTHO SPORT & SPINE PHYSICIANS MORROW
Practice address
6630 Exchange PL
Morrow, GA 30260-2310
Phone
(678) 752-7246
NPI assigned
Jan 6, 2015
Last updated
Feb 22, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2021

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

Authorized official

Name
Janessa A Hastings
Title
Director of Reveune
Phone
(404) 935-9116

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 63721 GA Primary

Addresses

Primary practice location

6630 Exchange PL
Morrow, GA 30260-2310

Mailing address

5788 Roswell Rd
Atlanta, GA 30328-4904

National Provider Directory

National Provider Directory
Tax ID family
Ortho Sport and Spine Physicians Las Vegas35 organizations share this tax ID, including this one

Other organizations with this tax ID 34

Organizations that report the same tax identification number in the National Provider Directory.

View all 34

Locations

6630 Exchange Pl
Morrow, GA 30260
Phone (404) 935-9116

NPI Registry JSON

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

{
    "created_epoch": "1420502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613952000000",
    "number": "1447648977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5788 ROSWELL RD",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303284904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6630 EXCHANGE PL",
            "city": "MORROW",
            "state": "GA",
            "postal_code": "302602310",
            "telephone_number": "678-752-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHO SPORT & SPINE PHYSICIANS MORROW",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-06",
        "last_updated": "2021-02-22",
        "certification_date": "2021-02-22",
        "status": "A",
        "authorized_official_last_name": "HASTINGS",
        "authorized_official_first_name": "JANESSA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR OF REVEUNE",
        "authorized_official_telephone_number": "404-935-9116"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "GA",
            "license": "63721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morrow, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.