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Organization Active NPI

Rockdale Physician Practices LLC

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Conyers, GA
National Provider Identifier
1619205754
Registry record updated Dec 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
Legal business name
ROCKDALE PHYSICIAN PRACTICES LLC
Practice address
1301 Sigman Rd
Suite 125
Conyers, GA 30012-3812
Phone
(678) 413-7900
Fax
(678) 413-7901
NPI assigned
Dec 1, 2009
Organization subpart
Yes
Parent organization
LIFEPOINT HOLDINGS 2 LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 4, 2009

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

Authorized official

Name
Daniel Sykes
Title
Vice President
Phone
(615) 372-8505

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207XX0005X Primary

Addresses

Primary practice location

1301 Sigman Rd
Suite 125
Conyers, GA 30012-3812

Mailing address

1301 Sigman Rd
Suite 125
Conyers, GA 30012-3812
Phone (678) 413-7900

Other names 1

  • Rockdale Orthopedic Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1259625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259884800000",
    "number": "1619205754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 SIGMAN RD",
            "address_2": "SUITE 125",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300123812",
            "telephone_number": "678-413-7900",
            "fax_number": "678-413-7901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 SIGMAN RD",
            "address_2": "SUITE 125",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300123812",
            "telephone_number": "678-413-7900",
            "fax_number": "678-413-7901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKDALE PHYSICIAN PRACTICES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LIFEPOINT HOLDINGS 2 LLC",
        "enumeration_date": "2009-12-01",
        "last_updated": "2009-12-04",
        "status": "A",
        "authorized_official_last_name": "SYKES",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "615-372-8505"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rockdale Orthopedic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Conyers, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2009; 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.