Organization Active NPI

Atlanta Osteoarthritis Center LLC

  • General Practice Physician
  • Marietta, GA
National Provider Identifier
1548892458
Registry record updated Jun 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
ATLANTA OSTEOARTHRITIS CENTER LLC
Practice address
2550 Windy Hill Rd SE Ste 308
Marietta, GA 30067-8655
Phone
(404) 800-8533
Fax
(470) 600-4481
NPI assigned
Feb 8, 2020
Last updated
Jun 2, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2023

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

Authorized official

Name
Phillip Wofford
Title
Director
Phone
(404) 800-8533

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X NU
General Practice Physician 208D00000X NU Primary

Addresses

Primary practice location

2550 Windy Hill Rd SE Ste 308
Marietta, GA 30067-8655

Mailing address

2550 Windy Hill Rd SE Ste 308
Marietta, GA 30067-8655
Phone (404) 800-8533

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200814002136 GA Part B Supplier - Clinic/Group Practice 2567893357 Receives reassigned benefits from 5 practitioners
Practice locations: Marietta, GA

National Provider Directory

National Provider Directory

Locations

2550 Windy Hill Rd SE
Ste 308
Marietta, GA 30067
Phone (404) 800-8533

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1581120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685664000000",
    "number": "1548892458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 WINDY HILL RD SE STE 308",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300678655",
            "telephone_number": "404-800-8533",
            "fax_number": "470-600-4481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 WINDY HILL RD SE STE 308",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300678655",
            "telephone_number": "404-800-8533",
            "fax_number": "470-600-4481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTA OSTEOARTHRITIS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-08",
        "last_updated": "2023-06-02",
        "certification_date": "2023-06-02",
        "status": "A",
        "authorized_official_last_name": "WOFFORD",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "404-800-8533"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.