Organization Active NPI

Athens Bone and Joint

  • Orthopaedic Surgery Physician
  • Elberton, GA
National Provider Identifier
1669827275
Registry record updated May 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
ATHENS BONE AND JOINT
Practice address
33 Chestnut St
Elberton, GA 30635-1833
Phone
(706) 583-9000
NPI assigned
May 2, 2016
Last updated
May 2, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2016

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

Authorized official

Name
Amy J Gregory
Title
Credentialing
Phone
(706) 395-1673

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X Primary

Addresses

Primary practice location

33 Chestnut St
Elberton, GA 30635-1833

Mailing address

1010 Prince Ave
Suite 115 South
Athens, GA 30606-5805
Phone (706) 583-9000

Other identifiers 1

IdentifierTypeStateIssuer
GRP7521OtherGAMEDICARE PTAN

National Provider Directory

National Provider Directory
Tax ID family
Athens Bone and Joint2 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.

NPI Registry JSON

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

{
    "created_epoch": "1462147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462147200000",
    "number": "1669827275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 PRINCE AVE",
            "address_2": "SUITE 115 SOUTH",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306065805",
            "telephone_number": "706-583-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 CHESTNUT ST",
            "city": "ELBERTON",
            "state": "GA",
            "postal_code": "306351833",
            "telephone_number": "706-583-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATHENS BONE AND JOINT",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-02",
        "last_updated": "2016-05-02",
        "status": "A",
        "authorized_official_last_name": "GREGORY",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "706-395-1673"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "GRP7521",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elberton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2016; 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.