Orthoatlanta Surgery Center of Fayetteville, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

ORTHOATLANTA SURGERY CENTER OF FAYETTEVILLE, LLC

Practice address

1265 Highway 54 W
Suite 103
Fayetteville, GA 30214-4548

Phone

(678) 216-0771

NPI assigned

Jun 4, 2006

Last updated

May 28, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael J Behr, M.D.NPI 1992705347

Title

Medical Director

Phone

(770) 460-1900

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Listed as

Orthoatlanta Surgery Center of Fayetteville LLCCCN 11C0001307

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

Tax ID family

Ortho Atlanta Surgery Center of Fayetteville2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Ortho Atlanta Surgery Center of Fayetteville

  • Ambulatory Surgical Clinic/Center
  • Fayetteville, GA
  • NPI 1447630876
  NPD tax ID

Member of 1

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

• Fayette Community Hospital, Inc.

  dba Piedmont Fayette Hospital

  • General Acute Care Hospital
  • Fayetteville, GA
  • NPI 1528027240

  Member Of

  NPD member

Locations

Practitioners 2

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.

• Michael J Behr, M.D.

  • Orthopaedic Surgery Physician
  • Fayetteville, GA
  • NPI 1992705347
  Authorized official Same address or phone
• Joseph S Wilkes, M.D.

  • Orthopaedic Surgery Physician
  • Atlanta, GA
  • NPI 1659372431
  NPD (past)

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432771200000",
    "number": "1609815075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 CIRCLE 75 PKWY SE",
            "address_2": "SUITE 1700",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303393035",
            "telephone_number": "770-953-6929",
            "fax_number": "770-953-6972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1265 HIGHWAY 54 W",
            "address_2": "SUITE 103",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302144548",
            "telephone_number": "678-216-0771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOATLANTA SURGERY CENTER OF FAYETTEVILLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2015-05-28",
        "status": "A",
        "authorized_official_last_name": "BEHR",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "770-460-1900",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optimistic Steps Behavioral Services, LLC
• Oral an Implant Surgery Specialists, PC
• Ortho Atlanta Surgery Center of Fayetteville
• Orthoatlanta, LLC
• Orthoxpress of Georgia (OrthoXpress of Fayetteville)
• Esohe Osaghae, MSN, RN-BC, CCM
• Ajala Osagie, M.D.
• Sarah Grace Osborne, OT

• Ambulatory Surgical Clinic/Center in Fayetteville, GA
• Providers in Fayetteville, GA by specialty
• Ambulatory Surgical Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.