NPIMap

Organization Active NPI

Orthopedic Surgeons of Georgia, LLC

Doing business as Orthopedic Surgeons of Georgia

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Douglas, GA
National Provider Identifier
1568869170
Registry record updated Sep 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
Legal business name
ORTHOPEDIC SURGEONS OF GEORGIA, LLC
Doing business as
Orthopedic Surgeons of Georgia
Practice address
100 Doctors Dr
Suite F
Douglas, GA 31533-2210
Phone
(912) 383-6575
Fax
(229) 387-8064
NPI assigned
Nov 25, 2014
Last updated
Sep 7, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2017

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

Authorized official

Name
Mrs. Lavonda Cravey
Title
Controller
Phone
(912) 383-5600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X NU Primary

Addresses

Primary practice location

100 Doctors Dr
Suite F
Douglas, GA 31533-2210

Mailing address

100 Doctors Dr
Suite F
Douglas, GA 31533-2210

Other names 1

  • Orthopedic Surgeons of Georgia Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Orthopedic Surgeons of Georgia LLC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

100 Doctors Dr
Ste F
Douglas, GA 31533
Phone (912) 383-4945

NPI Registry JSON

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

{
    "created_epoch": "1416873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1504742400000",
    "number": "1568869170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 DOCTORS DR",
            "address_2": "SUITE F",
            "city": "DOUGLAS",
            "state": "GA",
            "postal_code": "315332210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 DOCTORS DR",
            "address_2": "SUITE F",
            "city": "DOUGLAS",
            "state": "GA",
            "postal_code": "315332210",
            "telephone_number": "912-383-6575",
            "fax_number": "229-387-8064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPEDIC SURGEONS OF GEORGIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-25",
        "last_updated": "2017-09-07",
        "status": "A",
        "authorized_official_last_name": "CRAVEY",
        "authorized_official_first_name": "LAVONDA",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "912-383-5600",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orthopedic Surgeons of Georgia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Douglas, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2017; 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.