Performance Orthopaedics & Sports Medicine

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

048913 Issued in GA

Legal business name

PERFORMANCE ORTHOPAEDICS & SPORTS MEDICINE

Practice address

755 Mount Vernon Hwy NE Ste 305
Atlanta, GA 30328-4274

Phone

(404) 973-2444

Fax

(404) 935-9832

NPI assigned

Aug 23, 2018

Organization subpart

No

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

Authorized official

Name

Janelle Watson

Title

Practice Manager

Phone

(404) 973-2444

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 1

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

• Stephanie S Martin, MD

  • Orthopaedic Surgery Physician
  • Atlanta, GA
  • NPI 1386662237
  Medicare reassignment NPD

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

{
    "created_epoch": "1534982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534982400000",
    "number": "1831670322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1266 W PACES FERRY RD NW STE 286",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303272306",
            "telephone_number": "404-973-2444",
            "fax_number": "404-935-9832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 MOUNT VERNON HWY NE STE 305",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303284274",
            "telephone_number": "404-973-2444",
            "fax_number": "404-935-9832"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "631 Professional Dr Ste 170",
            "address_purpose": "LOCATION",
            "city": "Lawrenceville",
            "state": "GA",
            "postal_code": "300463392",
            "country_code": "US",
            "telephone_number": "404-973-2444",
            "fax_number": "404-935-9832",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2121 Fountain Dr Ste E",
            "address_purpose": "LOCATION",
            "city": "Snellville",
            "state": "GA",
            "postal_code": "300782900",
            "country_code": "US",
            "telephone_number": "404-973-2444",
            "fax_number": "404-935-9832",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PERFORMANCE ORTHOPAEDICS & SPORTS MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-23",
        "last_updated": "2018-08-23",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "JANELLE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "404-973-2444"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "GA",
            "license": "048913",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000867787I",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003113208A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephany Sifuentes Perez
• Perfect Pair ABA Ga LLC
• Perfection Health Care L.L.C
• Perfectly Imperfect Counseling Services, LLC
• Performance Development Incorporated
• Perimeter Dental Midtown
• Perimeter Dermatology, PC
• Perimeter Detox, LLC
• Perimeter Eye Group, P.C.
• Perimeter Health Center PC

• Orthopaedic Surgery Physician in Atlanta, GA
• Providers in Atlanta, 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 23, 2018; 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.