NPIMap

Organization Active NPI

Georgia Bone & Joint, LLC

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Covington, GA
National Provider Identifier
1821855719
Registry record updated Mar 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
Legal business name
GEORGIA BONE & JOINT, LLC
Practice address
10001 Town Center Dr
Covington, GA 30014-3605
Phone
(770) 254-7843
NPI assigned
Mar 6, 2024
Last updated
Mar 6, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2024

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

Authorized official

Name
Jennifer Boyd Baldock
Title
Officer and Authorized Official
Phone
(615) 234-5954

Specialties & licenses 1

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

Addresses

Primary practice location

10001 Town Center Dr
Covington, GA 30014-3605

Mailing address

1755 Highway 34 E Ste 2200
Newnan, GA 30265-3190
Phone (770) 254-7843

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

10001 Town Center Dr
Covington, GA 30014
Phone (770) 254-7843

125 Grand Oak Dr
Fayetteville, GA 30214
Phone (770) 626-5340

1015 Lafayette Pkwy
Ste 210
Lagrange, GA 30241
Phone (706) 668-4097

60 Oak Hill Blvd
Ste 101
Newnan, GA 30265
Phone (770) 502-2175

4000 Shakerag Hl
Ste 100
Peachtree City, GA 30269
Phone (770) 626-5340

5673 Peachtree Dunwoody Rd
Ste 825
Sandy Springs, GA 30342
Phone (404) 255-5595

Practitioners & affiliated clinicians

Practitioners 39

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 39

NPI Registry JSON

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

{
    "created_epoch": "1709683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709683200000",
    "number": "1821855719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1755 HIGHWAY 34 E STE 2200",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302653190",
            "telephone_number": "770-254-7843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10001 TOWN CENTER DR",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300143605",
            "telephone_number": "770-254-7843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA BONE & JOINT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-06",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A",
        "authorized_official_last_name": "BALDOCK",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "BOYD",
        "authorized_official_title_or_position": "OFFICER AND AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "615-234-5954"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; 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.