Organization Active NPI

Atlanta Area Orthopedics and Regenerative Medicine LLC

  • Orthopaedic Surgery Physician
  • Lawrenceville, GA
National Provider Identifier
1982248597
Registry record updated Sep 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
ATLANTA AREA ORTHOPEDICS AND REGENERATIVE MEDICINE LLC
Practice address
2878 Five Forks Trickum Rd Ste 2C
Lawrenceville, GA 30044-5896
Phone
(678) 344-8700
Fax
(678) 344-8600
NPI assigned
Nov 6, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2023

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

Authorized official

Name
Satish Poddar, MDNPI 1083603922
Title
Ceo
Phone
(678) 344-8700

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

2878 Five Forks Trickum Rd Ste 2C
Lawrenceville, GA 30044-5896

Mailing address

2878 Five Forks Trickum Rd Ste 2a
Lawrenceville, GA 30044-5896
Phone (678) 344-8700

Other practice location 1

289 Grayson Hwy Ste 100B
Lawrenceville, GA 30046-5726
Phone (770) 771-5560

Other practice location 2

2696 Lawrenceville Suwanee Rd Ste 100B
Suwanee, GA 30024-2535
Phone (770) 771-5570

Other practice location 3

10160 Medlock Bridge Rd Ste 100B
Johns Creek, GA 30097-4419
Phone (678) 387-1600

Other practice location 4

3685 Braselton Hwy Ste 100B
Dacula, GA 30019-5920
Phone (678) 546-9800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200208000214 GA Part B Supplier - Clinic/Group Practice 3274969340 Receives reassigned benefits from 2 practitioners
Practice locations: Dacula, GA; Johns Creek, GA; Lawrenceville, GA; Suwanee, GA

National Provider Directory

National Provider Directory

Locations

3685 Braselton Hwy
Ste 100B
Dacula, GA 30019
Phone (678) 546-9800

10160 Medlock Bridge Rd
Ste 100B
Johns Creek, GA 30097
Phone (678) 387-1600

289 Grayson Hwy
Ste 100B
Lawrenceville, GA 30046
Phone (770) 771-5560

2878 Five Forks Trickum Rd
Ste 2C
Lawrenceville, GA 30044

2696 Lawrenceville Suwanee Rd
Ste 100B
Suwanee, GA 30024
Phone (770) 771-5570

Practitioners & affiliated clinicians

Practitioners 3

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": "1572998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695772800000",
    "number": "1982248597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2878 FIVE FORKS TRICKUM RD STE 2A",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300445896",
            "telephone_number": "678-344-8700",
            "fax_number": "678-344-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2878 FIVE FORKS TRICKUM RD STE 2C",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300445896",
            "telephone_number": "678-344-8700",
            "fax_number": "678-344-8600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "289 Grayson Hwy Ste 100B",
            "address_purpose": "LOCATION",
            "city": "Lawrenceville",
            "state": "GA",
            "postal_code": "300465726",
            "country_code": "US",
            "telephone_number": "770-771-5560",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2696 Lawrenceville Suwanee Rd Ste 100B",
            "address_purpose": "LOCATION",
            "city": "Suwanee",
            "state": "GA",
            "postal_code": "300242535",
            "country_code": "US",
            "telephone_number": "770-771-5570",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10160 Medlock Bridge Rd Ste 100B",
            "address_purpose": "LOCATION",
            "city": "Johns Creek",
            "state": "GA",
            "postal_code": "300974419",
            "country_code": "US",
            "telephone_number": "678-387-1600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3685 Braselton Hwy Ste 100B",
            "address_purpose": "LOCATION",
            "city": "Dacula",
            "state": "GA",
            "postal_code": "300195920",
            "country_code": "US",
            "telephone_number": "678-546-9800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ATLANTA AREA ORTHOPEDICS AND REGENERATIVE MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-06",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A",
        "authorized_official_last_name": "PODDAR",
        "authorized_official_first_name": "SATISH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-344-8700",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; 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.