Georgia Knee & Sports Medicine

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

GEORGIA KNEE & SPORTS MEDICINE

Practice address

2801 N Decatur Road
Decatur, GA 30033-5949

Phone

(404) 296-5005

Fax

(404) 296-9417

NPI assigned

Jun 15, 2007

Organization subpart

No

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

Authorized official

Name

Brian Pallone

Title

Practice Manager

Phone

(404) 296-5005

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1181865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740485317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 N DECATUR RD",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300335949",
            "telephone_number": "404-296-5005",
            "fax_number": "404-296-9417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 N DECATUR ROAD",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300335949",
            "telephone_number": "404-296-5005",
            "fax_number": "404-296-9417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA KNEE & SPORTS MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PALLONE",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "404-296-5005"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Georgia Department of Public Health (Georgia Public Health Laboratory)
• Georgia Discount Medical Equipment Supply, Inc
• Georgia Height Private Care
• Georgia Injury & Spine Center of Decatur
• Georgia Interventional Pain - D LLC
• Georgia Medical & Healthcare Staffing
• Georgia Mission Management LLC
• Georgia Mua, LLC
• Georgia Nephrology, LLC
• Georgia Nephrology, LLC (South Dekalb Dialysis Center)

• Orthopaedic Surgery Physician in Decatur, GA
• Providers in Decatur, GA by specialty
• Orthopaedic Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.