Georgia Orthopedics and Sports Medicine,LLC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

GEORGIA ORTHOPEDICS AND SPORTS MEDICINE,LLC

Practice address

4181 Hospital Dr NE
Covington, GA 30014-2541

Phone

(770) 788-6534

Fax

(770) 788-7658

NPI assigned

Apr 30, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Angela Roberts

Title

Office Manager

Phone

(770) 788-6534

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Newton Health System Other name

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Piedmont Newton Hospital, Inc.

  • General Acute Care Hospital
  • Covington, GA
  • NPI 1760498588

  Member Of

  NPD member

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

{
    "created_epoch": "1335744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388448000000",
    "number": "1588922306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4181 HOSPITAL DR NE",
            "address_2": "SUITE 204",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300142541",
            "telephone_number": "770-788-6534",
            "fax_number": "770-788-7658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4181 HOSPITAL DR NE",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300142541",
            "telephone_number": "770-788-6534",
            "fax_number": "770-788-7658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA ORTHOPEDICS AND SPORTS MEDICINE,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-30",
        "last_updated": "2013-12-31",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "770-788-6534",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "202G702667",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003126546A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Newton Health System",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Georgia Foot & Ankle, P.C.
• Georgia Heart Specialists, LLC
• Georgia Ophthalmologists LLC
• Georgia Ophthalmologists LLC
• Georgia Ophthalmologists LLC
• Georgia Rehab Services, Inc.
• Georgia Rising Star Services
• Georgia Urology PA
• Johnelle Gooden Gethers, RDN
• Mark Joseph Giangregorio, NP

• Orthopaedic Surgery Physician in Covington, GA
• Providers in Covington, GA by specialty
• Orthopaedic Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2013; 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.