Flex Sports Medicine and Wellness, LLC

Primary specialty

Sports Medicine (Emergency Medicine) PhysicianTaxonomy code 207PS0010X

Legal business name

FLEX SPORTS MEDICINE AND WELLNESS, LLC

Practice address

4490 Washington Rd Ste 2
Evans, GA 30809-5899

Phone

(762) 930-3539

NPI assigned

Dec 7, 2023

Organization subpart

No

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

Authorized official

Name

Beau P Gedrick, DONPI 1679899215

Title

Owner

Phone

(762) 930-3539

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Beau Philip Gedrick, D.O.

  • Sports Medicine (Emergency Medicine) Physician
  • Evans, GA
  • NPI 1679899215
  NPD Authorized official

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

{
    "created_epoch": "1701907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701907200000",
    "number": "1457128613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4490 WASHINGTON RD STE 2",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308095899",
            "telephone_number": "762-930-3539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4490 WASHINGTON RD STE 2",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308095899",
            "telephone_number": "762-930-3539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLEX SPORTS MEDICINE AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-07",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A",
        "authorized_official_last_name": "GEDRICK",
        "authorized_official_first_name": "BEAU",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "762-930-3539",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207PS0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa W Fitzgerald, OTR
• Beth Anne Flack, D.C., ATC
• Lynn E Flanagan, D.M.D.
• Nadya Homam Fleming, M.D.
• Schitonya K Fleming
• Frances T. Florentino, MD
• Katelyn Flynn
• Kirsten Foley, P.T., C.L.T.
• Emily Ford
• Cynthia Ann Fountain, PMHNP-BC

• Sports Medicine (Emergency Medicine) Physician in Evans, GA
• Providers in Evans, GA by specialty
• Sports Medicine (Emergency Medicine) Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.