NPIMap

Organization Active NPI

Orthoone Sports Medicine & Orthopaedics, PLLC

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Collierville, TN
National Provider Identifier
1710229018
Registry record updated Mar 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
Legal business name
ORTHOONE SPORTS MEDICINE & ORTHOPAEDICS, PLLC
Practice address
99 Market Center Dr
Collierville, TN 38017-6913
Phone
(901) 861-9610
Fax
(901) 861-9611
NPI assigned
Mar 25, 2013
Last updated
Mar 30, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2023

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

Authorized official

Name
Mrs. Gail Lindberg
Title
Ceo
Phone
(901) 861-9610

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X NU Primary

Addresses

Primary practice location

99 Market Center Dr
Collierville, TN 38017-6913

Mailing address

PO Box 1866
Collierville, TN 38027-1866
Phone (901) 861-9610

Other practice location 1

85 Market Center Dr
Collierville, TN 38017-6913
Phone (901) 861-9610

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130312000418 TN Part B Supplier - Clinic/Group Practice 3779738000 Receives reassigned benefits from 9 practitioners
1 other NPI on this enrollment
Practice locations: Collierville, TN

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

9085 Sandidge Center Cv
Ste 100
Olive Branch, MS 38654
Phone (662) 890-2663

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1364169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680134400000",
    "number": "1710229018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1866",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380271866",
            "telephone_number": "901-861-9610",
            "fax_number": "901-861-9611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 MARKET CENTER DR",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380176913",
            "telephone_number": "901-861-9610",
            "fax_number": "901-861-9611"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "85 Market Center Dr",
            "address_purpose": "LOCATION",
            "city": "Collierville",
            "state": "TN",
            "postal_code": "380176913",
            "country_code": "US",
            "telephone_number": "901-861-9610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ORTHOONE SPORTS MEDICINE & ORTHOPAEDICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-25",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A",
        "authorized_official_last_name": "LINDBERG",
        "authorized_official_first_name": "GAIL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "901-861-9610",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Collierville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.