Active NPI
Paragon Sports Medicine LLC
- Sports Medicine (Family Medicine) Physician
- Atlanta, GA
National Provider Identifier
1891145561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Family Medicine) Physician
- License
- 56449
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Family Medicine) Physician | 207QS0010X | 56449 | GA | Primary |
| Public Health & General Preventive Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 056449 | Other | GA | LICENSE |
Other names 1
- Paragon sports Medicine
National Provider Directory
National Provider DirectoryLocations
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
- 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.
-
- Family Nurse Practitioner
- Atlanta, GA
- NPI 1942800123
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.