ATHENS ORTHOPEDIC CLINIC, PA (NPI# 1154714277) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154714277 |
| Entity Type | Organization |
| Organization Name | ATHENS ORTHOPEDIC CLINIC, PA |
| Practice Address |
1553 Janmar Rd Snellville GA 30078-5606 |
| Mailing Address |
1765 Old West Broad St Bldg 2-200 Athens GA 30606-2887 |
| Practice Telephone | 7065491663 |
| Practice Fax Number | 7065468792 |
| Mailing Telephone | 7065491663 |
| Mailing Fax Number | 7065468792 |
| Enumeration Date | 2015-03-13 |
| Last Update Date | 2019-06-19 |
| Authorized Official Name | KARL ELLIOTT (CEO) |
| Authorized Official Telephone | 7065491663 |
| Is Organization Subpart | Y |
| Parent Organization Name | ATHENS ORTHOPEDIC CLINIC, PA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396306197 | Athens Orthopedic Clinic, Pa | Orthopaedic Surgery | 1000 Cowles Clinic Way Ste A-400, Greensboro, GA 30642-5289 | 2019-06-24 |
| 1326523572 | Athens Orthopedic Clinic, Pa | Orthopaedic Surgery | 2108 Teron Trce Ste 100, Dacula, GA 30019-1666 | 2018-10-03 |
| 1770976037 | Athens Orthopedic Clinic, Pa | Orthopaedic Surgery | 209 Mercer Pl, Commerce, GA 30529-1564 | 2015-03-11 |
| 1154714475 | Athens Orthopedic Clinic, Pa | Orthopaedic Surgery | 2151 W Spring St Ste 140, Monroe, GA 30655-3115 | 2015-03-11 |
| 1376018408 | Athens Orthopedic Clinic, Pa | Orthopaedic Surgery | 33 Chestnut St, Elberton, GA 30635-1833 | 2018-10-04 |
| 1689152365 | Athens Orthopedic Clinic, Pa | Orthopaedic Surgery | 120 Gordon St, Washington, GA 30673-1602 | 2018-08-03 |
| 1457872830 | Athens Orthopedic Clinic, Pa | Orthopaedic Surgery | 1774 Old West Broad St, Athens, GA 30606-2865 | 2017-07-06 |
| 1366963811 | Athens Orthopedic Clinic, Pa | Orthopaedic Surgery | 528 Panther Dr, Jefferson, GA 30549-5400 | 2017-07-05 |
| 1295256741 | Athens Orthopedic Clinic, Pa | Orthopaedic Surgery | 340 Exchange Blvd, Bethlehem, GA 30620-1759 | 2017-07-05 |
| 1306239181 | Athens Orthopedic Clinic, Pa | Orthopaedic Surgery | 855 King Ave, Athens, GA 30606-2837 | 2015-03-18 |
| Street Address |
1553 JANMAR RD |
| City | SNELLVILLE |
| State | GA |
| Zip Code | 30078-5606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437199312 | Michael Shane Smith | Orthopaedic Surgery | 1553 Janmar Rd, Snellville, GA 30078-5606 | 2006-06-07 |
| 1861910374 | Kelsey C Davis | Physician Assistant | 1553 Janmar Rd, Snellville, GA 30078-5606 | 2017-09-05 |
| 1578939054 | Amanda Diane Holland | Physical Therapist | 1553 Janmar Rd, Suite B, Snellville, GA 30078-5606 | 2015-08-19 |
| 1679901490 | Drayer Physical Therapy Georgia LLC | Occupational Therapist | 1553 Janmar Rd, Suite B, Snellville, GA 30078-5606 | 2013-10-15 |
| 1023387768 | Drayer Physical Therapy Institute LLC | Physical Therapist | 1553 Janmar Rd, Suite B, Snellville, GA 30078-5606 | 2011-12-27 |
| 1265719348 | Kristin Mae Mishrell | Physical Therapist | 1553 Janmar Rd, Suite B, Snellville, GA 30078-5606 | 2011-11-03 |
| 1760768014 | Drayer Physical Therapy Institute LLC | Physical Therapist | 1553 Janmar Rd, Suite B, Snellville, GA 30078-5606 | 2011-11-01 |
| 1861623399 | Alaina Marie Lay | Physical Therapist | 1553 Janmar Rd, Suite B, Snellville, GA 30078-5606 | 2009-07-31 |
| 1033308739 | Wendy K Grage | Specialist/Technologist, Other | 1553 Janmar Rd, Snellville, GA 30078-5606 | 2007-10-18 |
| 1194751024 | Ruben Diaz | Physical Medicine & Rehabilitation | 1553 Janmar Rd, Snellville, GA 30078 | 2006-06-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619594561 | Steven Nguyen | Optometrist | 1905 Scenic Hwy S #1130, Snellville, GA 30078 | 2020-06-26 |
| 1891320776 | Youstina Harkas | Optometrist | 1679 Scenic Hwy S 203, Snellville, GA 30078 | 2020-03-11 |
| 1578101127 | Jwwt Neuoromonitoring, LLC | Psychiatry & Neurology | 1350 Scenic Highway, Suite 266, Snelville, GA 30078 | 2019-12-13 |
| 1679119903 | Lashon Poole Wells | Social Worker | 1350 Scenic Highway Ste 266, 1350 Scenic Highway Ste 266, Snellville, GA 30078 | 2019-11-21 |
| 1427601426 | Aemad Heavenly Joy Senior Homecare & Developmental Disabilities LLC | Registered Nurse | 1350 Scenic Highway Suite #266, Sneville, GA 30078 | 2019-07-18 |
| 1063975548 | Joanne Mcdougal Patterson | Nurse Practitioner | 1350 Scenic Hwy N Ste 226, Snellville, GA 30078 | 2019-04-10 |
| 1689144263 | Israel Branford | Physical Therapist | 1575 Scenic Hwy Ste 100, Snellville, GA 30078 | 2018-11-27 |
| 1902382997 | Brittany Dupree | Dermatology | 2383 Pate Street North, Snellville, GA 30078 | 2018-07-13 |
| 1134610926 | Reid Weston Popple | Dentist | 2992 Stone Mountain Hwy, A100, Snellville, GA 30078 | 2018-05-29 |
| 1326550492 | Optimal Healthcare Services LLC | Clinic/Center | 2121 Fountain Dr Ste F, Snellville, GA 30078 | 2017-10-30 |
| Find all providers in zip 30078 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568061000 | Esrpa | Orthopaedic Surgery | 1717 Benhill Dr, Snellville, GA 30078-2595 | 2020-10-24 |
| 1558656983 | Lattisha Latoyah Bilbrew | Orthopaedic Surgery | 1600 Medical Way Ste 150, Snellville, GA 30078-2166 | 2011-06-14 |
| 1770688392 | Gwinnett Bone & Joint Specialist | Orthopaedic Surgery | 2400 Wisteria Dr, Suite A, Snellville, GA 30078-2689 | 2006-09-14 |
| 1437199312 | Michael Shane Smith | Orthopaedic Surgery | 1553 Janmar Rd, Snellville, GA 30078-5606 | 2006-06-07 |
| 1992110449 | Resurgens, PC | Orthopaedic Surgery | 1600 Medical Way, Suite 150, Snellville, GA 30078-2166 | 2014-06-24 |
| 1598945552 | William Kehne Moeller, Md, PC | Orthopaedic Surgery | 1800 Tree Ln, Suite 140, Snellville, GA 30078-2016 | 2007-11-07 |
| 1710014931 | Resurgens, PC | Orthopaedic Surgery | 1700 Tree Ln, Suite 300, Snellville, GA 30078-6782 | 2007-02-27 |
| 1841202017 | Fred Daniel Koch | Orthopaedic Surgery | 1600 Medical Way, Suite 150, Snellville, GA 30078-2166 | 2006-08-13 |
| 1720033400 | Sami Osman Khan | Orthopaedic Surgery | 1700 Tree Lane Rd, Suite 300, Snellville, GA 30078-6782 | 2006-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386258 | Thrive Orthopaedics LLC | Orthopaedic Surgery | 5775 Peachtree Dunwoody Rd Ne Ste C150a, Atlanta, GA 30342-1501 | 2020-11-02 |
| 1588273122 | Mallory Mary Garretson | Orthopaedic Surgery | 3240 N E Expy Ne Ste 100, Atlanta, GA 30341-4003 | 2020-07-29 |
| 1982248597 | Atlanta Area Orthopedics and Regenerative Medicine LLC | Orthopaedic Surgery | 2878 Five Forks Trickum Rd Ste 2c, Lawrenceville, GA 30044-5896 | 2019-11-06 |
| 1821639758 | Optim Orthopedics, LLC | Orthopaedic Surgery | 586 Islands Hwy, Midway, GA 31320-5962 | 2019-10-02 |
| 1396306197 | Athens Orthopedic Clinic, Pa | Orthopaedic Surgery | 1000 Cowles Clinic Way Ste A-400, Greensboro, GA 30642-5289 | 2019-06-24 |
| 1588121123 | 2019 Coastal Orthopedics Surgical Assist LLC | Orthopaedic Surgery | 8882 Abercorn St, Savannah, GA 31406-4508 | 2019-03-01 |
| 1386108769 | Focus Orthopaedics and Sports Medicine PC | Orthopaedic Surgery | 642 Hospital Rd, Commerce, GA 30529-1142 | 2019-01-30 |
| 1326523572 | Athens Orthopedic Clinic, Pa | Orthopaedic Surgery | 2108 Teron Trce Ste 100, Dacula, GA 30019-1666 | 2018-10-03 |
| 1831670322 | Performance Orthopaedics & Sports Medicine | Orthopaedic Surgery | 755 Mount Vernon Hwy Ne Ste 305, Atlanta, GA 30328-4274 | 2018-08-23 |
| 1477039741 | Atlanta Knee and Shoulder Clinic PC | Orthopaedic Surgery | 3200 Downwood Cir Nw Ste 410, Atlanta, GA 30327 | 2018-07-19 |
| Find all providers with the same taxonomy | ||||
| City | SNELLVILLE |
| Zip Code | 30078 |
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| 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.