Orthopaedics of Atlanta, PC

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

044661 Issued in GA

Legal business name

ORTHOPAEDICS OF ATLANTA, PC

Practice address

4485 S Cobb Dr SE Ste 100
Smyrna, GA 30080-6957

Phone

(404) 768-1133

Fax

(404) 768-0309

NPI assigned

Dec 12, 2007

Organization subpart

Yes

Parent organization

ORTHOPAEDICS OF ATLANTA PCAs reported in NPPES

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

Authorized official

Name

Wadih Joseph Absi, MD

Title

Doctor

Phone

(404) 768-1133

Specialties & licenses 1

Addresses

Other identifiers 9

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Part of

Orthopaedics of Atlanta PC

Locations

Practitioners 2

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

• W. Joseph Absi, MD

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Smyrna, GA
  • NPI 1902908536
  Medicare reassignment NPD
• Cheryl Jeannetta Crockett, RN

  • Registered Nurse First Assistant
  • Smyrna, GA
  • NPI 1952937450
  NPD

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

{
    "created_epoch": "1197417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604534400000",
    "number": "1871776922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4485 S COBB DR SE STE 100",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300806957",
            "telephone_number": "404-768-1133",
            "fax_number": "404-768-0309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4485 S COBB DR SE STE 100",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300806957",
            "telephone_number": "404-768-1133",
            "fax_number": "404-768-0309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPAEDICS OF ATLANTA, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ORTHOPAEDICS OF ATLANTA PC",
        "enumeration_date": "2007-12-12",
        "last_updated": "2020-11-05",
        "certification_date": "2020-10-07",
        "status": "A",
        "authorized_official_last_name": "ABSI",
        "authorized_official_first_name": "WADIH",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "404-768-1133",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "GA",
            "license": "044661",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY HEALTH",
            "identifier": "174249",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF MI",
            "identifier": "7102000GA30344",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RETNA",
            "identifier": "7439027",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "0902271",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR",
            "identifier": "361770600",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "200044916",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF GA",
            "identifier": "52702670005",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELL CARE",
            "identifier": "309294",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "4190057",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Optimal Health Solutions LLC
• Emeka S Oraka, MD
• Jocelyn Ordaz
• Chinasaokwu Victoria Orji
• Zoey Oropallo, FNP-C
• Robert Kent Osborn, PT MTC
• Robbie Brawner Ouzts, LPC, NCC
• Alicia Overton, PA
• Allison Elaine Owens
• Jacquelyn Denise Owens, APRN, CNS/PMH-BC

• Health Maintenance Organization in Smyrna, GA
• Providers in Smyrna, GA by specialty
• Health Maintenance Organization in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2020; 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.