Active NPI
Georgia Spine and Orthopaedics ASC, LLC
- Ambulatory Surgical Clinic/Center
- Roswell, GA
National Provider Identifier
1679098693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- GEORGIA SPINE AND ORTHOPAEDICS ASC, LLC
- Practice address
- 11650 Alpharetta Hwy
Roswell, GA 30076-3805 - Phone
- (404) 596-5670
- NPI assigned
- Aug 10, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Erik Thor Bendiks, MD
- Title
- President
- Phone
- (404) 596-5670
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | |||
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
11650 Alpharetta Hwy
Roswell, GA 30076-3805
Mailing address
11650 Alpharetta Hwy
Roswell, GA 30076-3805
Phone (404) 596-5670
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D2141591 | Georgia Spine and Orthopaedics ASC, LLC | Certificate of waiver | Dec 17, 2027 |
| 11D2295869 | Georgia Spine & Orthopaedics | Certificate of waiver | Dec 18, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthopaedic Surgery of the Spine Physician
- Roswell, GA
- NPI 1518959006
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502323200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1679098693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11650 ALPHARETTA HWY",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300763805",
"telephone_number": "404-596-5670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11650 ALPHARETTA HWY",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300763805",
"telephone_number": "404-596-5670"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GEORGIA SPINE AND ORTHOPAEDICS ASC, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-08-10",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "BENDIKS",
"authorized_official_first_name": "ERIK",
"authorized_official_middle_name": "THOR",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "404-596-5670",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roswell, GA
- Georgia Ophthalmology Referral Center, LLC
- Georgia Pain and Wellness Center
- Georgia Prime Home Care
- Georgia Senior Services LLC
- Georgia Spectrum Neurosurgical Specialists, LLC
- Georgia Urology PA
- Georgia Urology PA
- Georgia Urology, PA
- Gerri Madelyn Geraci, B.S.W., M.S., L.P.C.
- Christopher James Getchell, D.D.S.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.