Family Orthopedics, P.C.
Organization Active NPI Orthopaedic Surgery Physician · Commerce, GA
NPI 1669780359 · NPPES record last updated Dec 12, 2016
Key facts
- NPI
- 1669780359
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Orthopaedic Surgery Physician 207X00000X
- License
- 023725 (GA)
- Legal business name
- FAMILY ORTHOPEDICS, P.C.
- Practice address
- 142 Hampton CT
Commerce, GA 30529-6688 - Phone
- (706) 335-9081
- Fax
- (706) 335-7194
- NPI assigned
- Sep 16, 2010
- Organization subpart
- No
Authorized official
- Name
- Richard Lee Davis, MD
- Title
- President
- Phone
- (706) 335-9081
Other NPIs on the same Medicare enrollment 1
Practitioners 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100805000704 | GA | Part B Supplier - Clinic/Group Practice | 4183757578 |
Receives reassigned benefits from 1 practitioner 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Commerce, GA |
National Provider Directory
Locations
142 Hampton Ct
Commerce, GA 30529
Phone (706) 335-9081
15 Medical Center Ct
Commerce, GA 30529
Phone (706) 335-9081
178 Cade St
Hartwell, GA 30643
Phone (706) 335-9081
178 Cade St
Ste C
Hartwell, GA 30643
Phone (706) 376-6081
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician |
207X00000X | 023725 | GA | Yes |
Addresses
Primary practice location
142 Hampton CT
Commerce, GA 30529-6688
Mailing address
PO Box 815
Commerce, GA 30529-0016
Phone (706) 335-9081
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000291772Q | Medicaid | GA | |
| 000291772S | Medicaid | GA |
Other providers in Commerce, GA
- Tabitha Evans
- Evernorth Direct Health LLC
- Every Smile Family Dentistry
- Family First Care of Commerce, LLC
- Family Foot Care Center
- Kenneth Lee Flint
- Focus Orthopaedics and Sports Medicine PC
- Tamara Leighann Frazier
- Rasheeda Japaka Freeman
- Georgia CVS Pharmacy LLC
All providers in Commerce, GA · Orthopaedic Surgery Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 12, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.