Orthopedics Sports Medicine & Surgery, LLC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

ORTHOPEDICS SPORTS MEDICINE & SURGERY, LLC

Practice address

612 W Gordon St
Suite E
Thomaston, GA 30286-3480

Phone

(706) 647-3030

Fax

(706) 647-3033

NPI assigned

Mar 18, 2010

Organization subpart

No

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

Authorized official

Name

Ms. Carol L Hopper, M.ED., RRT

Title

Director Physician Sevices

Phone

(706) 647-3035

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brandon Mark Boyce, MD

  • Specialist
  • Atlanta, GA
  • NPI 1235238239
  Medicare reassignment Care Compare group NPD
• Kevin A Gingrich, MD

  • Adult Reconstructive Orthopaedic Surgery Physician
  • Philadelphia, PA
  • NPI 1861482424

  GA

  Medicare reassignment Care Compare group NPD
• Mandi Howard

  • Physician Assistant
  • Thomaston, GA
  • NPI 1730599820
  Medicare reassignment Care Compare group
• Cherinor Sillah, MD

  • Emergency Medicine Physician
  • Macon, GA
  • NPI 1912931163
  Medicare reassignment NPD

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

{
    "created_epoch": "1268870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343606400000",
    "number": "1831413962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 589",
            "address_2": "801 WEST GORDON ST",
            "city": "THOMASTON",
            "state": "GA",
            "postal_code": "302860008",
            "telephone_number": "706-647-8111",
            "fax_number": "706-647-4389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 W GORDON ST",
            "address_2": "SUITE E",
            "city": "THOMASTON",
            "state": "GA",
            "postal_code": "302863480",
            "telephone_number": "706-647-3030",
            "fax_number": "706-647-3033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPEDICS SPORTS MEDICINE & SURGERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-18",
        "last_updated": "2012-07-30",
        "status": "A",
        "authorized_official_last_name": "HOPPER",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR PHYSICIAN SEVICES",
        "authorized_official_telephone_number": "706-647-3035",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.ED., RRT"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOYCE MCD BV",
            "identifier": "003121667B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003122757A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOYCE MCD TH",
            "identifier": "003121667A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yvette Murray-Thomas, PA
• New Start Treatment, LLC
• Christina Leigh Huntley Noguera, M.D.
• Northside Drugs, Inc.
• Susan Brown Orcutt, PA-C
• Abayomi G Oshinowo, MD
• Pennie Christie Parker, LPN
• Sean P Parker, PA-C
• Alyssa Patel, PA
• John W Patrick, M.D.

• Orthopaedic Surgery Physician in Thomaston, GA
• Providers in Thomaston, 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 Jul 30, 2012; 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.