NPIMap

Organization Active NPI

Ortho Sport & Spine Physicians Macon

  • Orthopaedic Surgery Physician
  • Macon, GA
National Provider Identifier
1467904433
Registry record updated Feb 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
ORTHO SPORT & SPINE PHYSICIANS MACON
Practice address
4601 Arkwright Rd
Macon, GA 31210-1303
Phone
(678) 752-7246
NPI assigned
Oct 26, 2016
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 Hastings
Title
Dir. of Reveune Management
Phone
(404) 935-9116

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X NU Primary

Addresses

Primary practice location

4601 Arkwright Rd
Macon, GA 31210-1303

Mailing address

3200 Riverside Dr
Suite 200
Macon, GA 31210-2550
Phone (404) 935-9116

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

3200 Riverside Dr
Ste 200
Macon, GA 31210

NPI Registry JSON

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

{
    "created_epoch": "1477440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613952000000",
    "number": "1467904433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 RIVERSIDE DR",
            "address_2": "SUITE 200",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312102550",
            "telephone_number": "404-935-9116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 ARKWRIGHT RD",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312101303",
            "telephone_number": "678-752-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHO SPORT & SPINE PHYSICIANS MACON",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-26",
        "last_updated": "2021-02-22",
        "certification_date": "2021-02-22",
        "status": "A",
        "authorized_official_last_name": "HASTINGS",
        "authorized_official_first_name": "JANESSA",
        "authorized_official_title_or_position": "DIR. OF REVEUNE MANAGEMENT",
        "authorized_official_telephone_number": "404-935-9116"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, 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.