NPIMap

Organization Active NPI

Buckhead Sports Medicine and Spine Center

Doing business as Midtown Sports Medicine

  • Specialist
  • Atlanta, GA
National Provider Identifier
1932236684
Registry record updated Nov 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
043942 Issued in GA
Legal business name
BUCKHEAD SPORTS MEDICINE AND SPINE CENTER
Doing business as
Midtown Sports Medicine
Practice address
285 Boulevard NE Ste 310
Atlanta, GA 30312-4209
Phone
(404) 522-5828
Fax
(404) 222-2322
NPI assigned
Feb 28, 2007
Last updated
Nov 19, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2010

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

Authorized official

Name
Eric Scott Furie, M.D.NPI 1245232651
Title
President
Phone
(404) 522-5828

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 043942 GA Primary

Addresses

Primary practice location

285 Boulevard NE Ste 310
Atlanta, GA 30312-4209

Mailing address

285 Boulevard NE
Suite 310
Atlanta, GA 30312-4205
Phone (404) 522-5828

Other identifiers 1

IdentifierTypeStateIssuer
000938781AMedicaidGA

Other names 1

  • Midtown Sports Medicine Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290124800000",
    "number": "1932236684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 BOULEVARD NE",
            "address_2": "SUITE 310",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303124205",
            "telephone_number": "404-522-5828",
            "fax_number": "404-222-2322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 BOULEVARD NE STE 310",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303124209",
            "telephone_number": "404-522-5828",
            "fax_number": "404-222-2322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUCKHEAD SPORTS MEDICINE AND SPINE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2010-11-19",
        "status": "A",
        "authorized_official_last_name": "FURIE",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "404-522-5828",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "043942",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000938781A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Midtown 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 Nov 19, 2010; 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.