Organization Active NPI

Paragon Sports Medicine LLC

  • Sports Medicine (Family Medicine) Physician
  • Atlanta, GA
National Provider Identifier
1891145561
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
56449 Issued in GA
Legal business name
PARAGON SPORTS MEDICINE LLC
Practice address
3280 Howell Mill Rd NW
Ste 250
Atlanta, GA 30327-4111
Phone
(470) 270-8978
Fax
(470) 355-7133
NPI assigned
Jun 14, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Charles Edwards Garten, MD
Title
MD Owner
Phone
(470) 270-8978

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QS0010X 56449 GA Primary
Public Health & General Preventive Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2083P0901X 56449 GA

Addresses

Primary practice location

3280 Howell Mill Rd NW
Ste 250
Atlanta, GA 30327-4111

Mailing address

3280 Howell Mill Rd NW
Ste 250
Atlanta, GA 30327-4111
Phone (470) 270-8978

Other identifiers 1

IdentifierTypeStateIssuer
056449OtherGALICENSE

Other names 1

  • Paragon sports Medicine Doing business as

National Provider Directory

National Provider Directory

Locations

3280 Howell Mill Rd NW
Ste 320
Atlanta, GA 30327
Phone (470) 270-8978

3280 Howell Mill Rd NW
Ste 250
Atlanta, GA 30327
Phone (404) 351-8700

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13689/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

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": "1465862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1891145561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3280 HOWELL MILL RD NW",
            "address_2": "STE 250",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303274111",
            "telephone_number": "470-270-8978",
            "fax_number": "470-355-7133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3280 HOWELL MILL RD NW",
            "address_2": "STE 250",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303274111",
            "telephone_number": "470-270-8978",
            "fax_number": "470-355-7133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARAGON SPORTS MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-14",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "GARTEN",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "EDWARDS",
        "authorized_official_title_or_position": "MD OWNER",
        "authorized_official_telephone_number": "470-270-8978",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Sports Medicine",
            "state": "GA",
            "license": "56449",
            "primary": true
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "GA",
            "license": "56449",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "056449",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Paragon sports Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.