Organization Active NPI

Athens Bone and Joint PC

  • Specialist
  • Athens, GA
National Provider Identifier
1689736100
Registry record updated Oct 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
040899 Issued in GA
Legal business name
ATHENS BONE AND JOINT PC
Practice address
1010 Prince Ave
Suite 115 South
Athens, GA 30606-5805
Phone
(706) 583-9000
Fax
(706) 353-6525
NPI assigned
Dec 14, 2006
Last updated
Oct 25, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2016

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

Authorized official

Name
Dr. John Richard Dorris III, MD
Title
Owner
Phone
(706) 583-9000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 040899 GA Primary

Addresses

Primary practice location

1010 Prince Ave
Suite 115 South
Athens, GA 30606-5805

Mailing address

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

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477353600000",
    "number": "1689736100",
    "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",
            "fax_number": "706-353-6525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "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",
            "fax_number": "706-353-6525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATHENS BONE AND JOINT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2016-10-25",
        "status": "A",
        "authorized_official_last_name": "DORRIS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-583-9000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "GA",
            "license": "040899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.