GEORGIA SPORTS ORTHOPEDIC SPECIALISTS


Address: 1466 Jesse Jewell Pkwy Se, Gainesville, GA 30501-3852
Phone: 7705320503

GEORGIA SPORTS ORTHOPEDIC SPECIALISTS (NPI# 1053466615) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053466615
Entity Type Organization
Organization Name GEORGIA SPORTS ORTHOPEDIC SPECIALISTS
Practice Address 1466 Jesse Jewell Pkwy Se
Gainesville
GA 30501-3852
Practice Telephone 7705320503
Practice Fax Number 7705322284
Mailing Telephone 7705320503
Mailing Fax Number 7705322284
Enumeration Date 2007-01-24
Last Update Date 2020-08-22
Authorized Official Name HEATHER A COUCH (CMA, ADMINISRTATIVE)
Authorized Official Telephone 7705320503
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207XX0005X Orthopaedic Surgery
Specialization: Sports Medicine
Allopathic & Osteopathic Physicians

Office Location

Street Address 1466 JESSE JEWELL PKWY SE
City GAINESVILLE
State GA
Zip Code 30501-3852

Providers in the same location

NPI Name Taxonomy Address Enumeration
1366684425 Jessica L Judge Specialist/Technologist 1466 Jesse Jewell Pkwy Se, Second Floor, Gainesville, GA 30501-3852 2009-04-03
1407024623 Georgia Sports Orthopedic Specialists, L.l.c Orthopaedic Surgery 1466 Jesse Jewell Pkwy Se, Gainesville, GA 30501-3852 2008-02-11

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437782851 Madison Raye Huth Physician Assistant 743 Spring Street Se, Gainesville, GA 30501 2020-02-13
1205487659 Grace M Walker Brown Nurse Practitioner 592 Medical Park Dr., Suite A, Gainesville, GA 30501 2019-09-26
1174086987 Nayab Ahmed Student in an Organized Health Care Education/Training Program 743 Spring Street, Suite 710, Gainesville, GA 30501 2019-04-09
1154881118 Ryan D Berry Student in an Organized Health Care Education/Training Program 734 Spring St Se Ste 710, Gainesville, GA 30501 2019-03-24
1609336304 Harper E Niver Student in an Organized Health Care Education/Training Program 743 Spring St., Suite 710, Gainesville, GA 30501 2019-03-20
1508336173 Bradee Burrell Aderholt Nurse Practitioner 663 Lanier Park Drive, Gainesville, GA 30501 2018-11-27
1578068359 Soammy Liz Matias Chiropractor 961 Green Street, Gainesville, GA 30501 2018-03-26
1811496896 Matthew Brown Speech-Language Pathologist 500 Spring St. Se Suite 101, Gainesville, GA 30501 2018-02-06
1346769825 Dr. Skeete & Associates of North Georgia, P.C. Optometrist 150 Pearl Nix Parkway, Suite D3a, Gainesville, GA 30501 2017-09-15
1932624723 M & B Imaging, PC Radiology 1640 Jesse Jewell Pkwy Se Ste 2, Gainesville, GA 30501 2017-08-14
Find all providers in zip 30501

Taxonomy Information

Taxonomy Code 207XX0005X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery
Specialization Sports Medicine

Taxonomy Definition

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1407024623 Georgia Sports Orthopedic Specialists, L.l.c Orthopaedic Surgery 1466 Jesse Jewell Pkwy Se, Gainesville, GA 30501-3852 2008-02-11
1750599239 Camille Coates-clark Orthopaedic Surgery 1601 Sw Archer Road, Malcolm Randall Nf/sg Veterans Health System, Gainesville, FL 32608 2007-05-18

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1326679671 Barbour Orthopaedics & Sports Medicine PC Orthopaedic Surgery 965 Oakland Rd Ste C, Lawrenceville, GA 30044-3758 2020-01-27
1932730298 Barbour Orthopaedics & Sports Medicine PC Orthopaedic Surgery 1100 Northside Forsyth Dr Ste 360, Cumming, GA 30041-6022 2020-01-27
1275094310 Mariolino Da Graca Fernandes Orthopaedic Surgery 3240 Northeast Expy Ne, Atlanta, GA 30341-4003 2019-03-29
1437601598 Optim Orthopedics LLC Orthopaedic Surgery 460 Mall Blvd Ste B, Savannah, GA 31406-4801 2016-10-25
1750753182 Zachary Russell Orthopaedic Surgery 1305 Jennings Mill Road, Building 300, Suite 110, Watkinsville, GA 30677 2015-10-26
1396121315 2 Bare Bones Medical LLC Orthopaedic Surgery 11102 Abercorn St, Savannah, GA 31419-1822 2015-07-31
1578985180 Brandon Dobo Orthopaedic Surgery 410 Brookhaven Way Ne, Atlanta, GA 30319-3177 2014-01-16
1306102785 Elan J Golan Orthopaedic Surgery 1800 Tree Ln Ste 140, Snellville, GA 30078-6799 2012-04-10
1235405747 Pinnacle Orthopaedics & Sports Medicine Specia Orthopaedic Surgery 1000 Chastain Road, Building II, Kennesaw, GA 30144-0000 2012-03-29
1346413648 Mathew William Pombo Orthopaedic Surgery 3855 Pleasant Hill Rd Ste 470, Duluth, GA 30096-1417 2008-04-08
Find all providers with the same taxonomy

Competitor

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City GAINESVILLE
Zip Code 30501

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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