Organization Active NPI

Orthocare Georgia LLC

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Riverdale, GA
National Provider Identifier
1871398602
Registry record updated Jun 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
Legal business name
ORTHOCARE GEORGIA LLC
Doing business as
OrthoCare Georgia
Practice address
33 Upper Riverdale Rd SW Ste 121
Riverdale, GA 30274-2642
Phone
(404) 323-4096
NPI assigned
Feb 17, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2026

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

Authorized official

Name
Timothy N Ghattas, MDNPI 1952507485
Title
Ceo/Owner
Phone
(979) 574-4619

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207XX0005X Primary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X
Athletic TrainerGroup: 193200000X MULTI-SPECIALTY GROUP 2255A2300X
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X

Addresses

Primary practice location

33 Upper Riverdale Rd SW Ste 121
Riverdale, GA 30274-2642

Mailing address

33 Upper Riverdale Rd SW Ste 121
Riverdale, GA 30274-2642

Other practice location 1

6564 Professional Pl Ste A
Riverdale, GA 30274-2588
Phone (470) 751-4610

Other names 1

  • OrthoCare Georgia Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20250513000303 GA Part B Supplier - Clinic/Group Practice 6204353394 Receives reassigned benefits from 3 practitioners
Practice locations: Riverdale, GA
O20260121000258 GA DME Supplier - Physician - Orthopedic/Orthopedic Surgery 6204353394 Practice locations: Riverdale, GA

National Provider Directory

National Provider Directory

Locations

33 Upper Riverdale Rd SE
Ste 121
Riverdale, GA 30274
Phone (678) 369-6934

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1739750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780963200000",
    "number": "1871398602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 UPPER RIVERDALE RD SW STE 121",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302742642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 UPPER RIVERDALE RD SW STE 121",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302742642",
            "telephone_number": "404-323-4096"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6564 Professional Pl Ste A",
            "address_purpose": "LOCATION",
            "city": "Riverdale",
            "state": "GA",
            "postal_code": "302742588",
            "country_code": "US",
            "telephone_number": "470-751-4610",
            "fax_number": "678-792-4787",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ORTHOCARE GEORGIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-17",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A",
        "authorized_official_last_name": "GHATTAS",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "979-574-4619",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OrthoCare Georgia",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "OrthoCare Georgia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Riverdale, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2026; 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.