NPIMap

Organization Active NPI

Ortho Sport and Spine Physicians Douglasville

  • Physical Medicine & Rehabilitation Physician
  • Douglasville, GA
National Provider Identifier
1760082077
Registry record updated Feb 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
ORTHO SPORT AND SPINE PHYSICIANS DOUGLASVILLE
Practice address
6043 Prestley Mill Rd
Douglasville, GA 30134-2280
Phone
(678) 752-7246
NPI assigned
Oct 27, 2020
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Faith A Beltzhoover
Title
Billing Director
Phone
(678) 752-7246

Corporate family (same tax ID) 34

Organizations that report the same tax identification number in the National Provider Directory.

View all 34

National Provider Directory

National Provider Directory
Tax ID family
Ortho Sport and Spine Physicians Pooler (35 organizations share this tax ID)

Locations

6043 Prestley Mill Rd
Douglasville, GA 30134

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X Primary

Addresses

NPPES NPI Registry

Primary practice location

6043 Prestley Mill Rd
Douglasville, GA 30134-2280

Mailing address

5788 Roswell Rd Ste 100
Atlanta, GA 30328-4904
Phone (678) 752-7246

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 22, 2021.

{
    "created_epoch": "1603756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613952000000",
    "number": "1760082077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5788 ROSWELL RD STE 100",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303284904",
            "telephone_number": "678-752-7246",
            "fax_number": "770-234-5326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6043 PRESTLEY MILL RD",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301342280",
            "telephone_number": "678-752-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHO SPORT AND SPINE PHYSICIANS DOUGLASVILLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-27",
        "last_updated": "2021-02-22",
        "certification_date": "2021-02-22",
        "status": "A",
        "authorized_official_last_name": "BELTZHOOVER",
        "authorized_official_first_name": "FAITH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "BILLING DIRECTOR",
        "authorized_official_telephone_number": "678-752-7246"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Douglasville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2021; 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.