NORTHEAST GEORGIA ORTHOPAEDICS & SPORTS MEDICINE, LLC (NPI# 1427079185) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427079185 |
| Entity Type | Organization |
| Organization Name | NORTHEAST GEORGIA ORTHOPAEDICS & SPORTS MEDICINE, LLC |
| Practice Address |
655 Jesse Jewell Pkwy Se Suite B Gainesville GA 30501-3722 |
| Practice Telephone | 7705327092 |
| Practice Fax Number | 7705360383 |
| Mailing Telephone | 7705327092 |
| Mailing Fax Number | 7705360383 |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DONALD ROGER WILLERS (MEMBER/PHYSICIAN) |
| Authorized Official Telephone | 7705327092 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093725327 | Northeast Georgia Orthopaedics & Sports Medicine, LLC | Orthopaedic Surgery | 5737 Thompson Mill Rd, Hoschton, GA 30548-4001 | 2006-08-09 |
| Street Address |
655 JESSE JEWELL PKWY SE SUITE B |
| City | GAINESVILLE |
| State | GA |
| Zip Code | 30501-3722 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356336606 | James Ross Davis | Specialist/Technologist | 655 Jesse Jewell Pkwy Se, Gainesville, Gainesville, GA 30501-3722 | 2005-09-13 |
| 1053899682 | Hugh Colby Cornelson | Nurse Practitioner | 655 Jesse Jewell Pkwy Se, Gainesville, GA 30501-3756 | 2018-08-06 |
| 1396141974 | John Richard Williams I | Physician Assistant | 655 Jesse Jewell Pkwy Se, Suite B, Gainesville, GA 30501 | 2014-11-10 |
| 1033511209 | Jeremiah John Spearman | Physician Assistant | 655 Jesse Jewell Pkwy Se, Ste B, Gainesville, GA 30501-3854 | 2014-09-19 |
| 1801146402 | Karen Jeanette Freeman | Nurse Practitioner | 655 Jesse Jewell Pkwy Se, Ste B, Gainesville, GA 30501 | 2012-09-12 |
| 1417247073 | Christopher David Thomas | Physician Assistant | 655 Jesse Jewell Pkwy Se, Ste B, Gainesville, GA 30501-3756 | 2011-04-15 |
| 1861647836 | Seth Abraham Alhadeff | Physical Therapist | 655 Jesse Jewell Pkwy Se, Gainesville, GA 30501-3756 | 2008-11-18 |
| 1568627412 | Jason Jamesryan Rutland Nierenhausen | Specialist/Technologist | 655 Jesse Jewell Pkwy Se, Suite C, Gainesville, GA 30501-3756 | 2008-07-21 |
| 1780847699 | Trevor Frederick Ezzell | Nurse Practitioner | 655 Jesse Jewell Pkwy Se, Ste B, Gainesville, GA 30501-3854 | 2008-07-10 |
| 1609049089 | Kelly Everett Hemphill | Physician Assistant | 655 Jesse Jewell Pkwy Se, Ste B, Gainesville, GA 30501-3756 | 2008-04-08 |
| Find all providers in the same location | ||||
| 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 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 |
|---|---|---|---|---|
| 1558927392 | Emmanuel Franck Dominique Gibon | Orthopaedic Surgery | University of Florida Orthopaedics & Rehabilitation, Gainesville, FL 32611-0001 | 2019-05-16 |
| 1053670794 | Matthew W Crozier | Orthopaedic Surgery | 3450 Hull Rd Ste 3301, Gainesville, FL 32607-4144 | 2012-05-15 |
| 1720266307 | Christopher Cullen Scott | Orthopaedic Surgery | 1240 Jesse Jewell Parkway Se, Suite 300, Gainesville, GA 30501-3861 | 2008-02-05 |
| 1033396908 | Robert Courtney Decker | Orthopaedic Surgery | 3450 Hull Road, Rm 3341, Uf Orthopaedics and Sports Med Institute, Gainesville, FL 32607 | 2008-01-23 |
| 1316008857 | Charles Holmes Shaw | Orthopaedic Surgery | 7257 Nw 4th Blvd # 9, Gainesville, FL 32607 | 2006-12-12 |
| 1831267061 | Chester E Sutterlin IIi | Orthopaedic Surgery | 100 S Newwll Dr Bldg 59 Rm L-100, University of Fl - Dept of Neurological Surgery, Gainesville, FL 32610 | 2006-12-04 |
| 1891718383 | Michael Bradley Gottsman | Orthopaedic Surgery | 1475 Jesse Jewell Pkwy Ne Ste 302, Gainesville, GA 30501-3806 | 2006-07-25 |
| 1174516876 | Christian Frank Vissers Jr. | Orthopaedic Surgery | 1902 Hospital Blvd Ste A, Gainesville, TX 76240-2008 | 2005-08-26 |
| 1912903873 | W. Preston Blake | Orthopaedic Surgery | 4500 W Newberry Rd, Gainesville, FL 32607-2245 | 2005-06-24 |
| 1174902704 | Jonathan Wright | Orthopaedic Surgery | 3450 Hull Rd Ste 3301, Gainesville, FL 32611-4144 | 2015-05-28 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 30501 |
Please comment or provide details below to improve the information on NORTHEAST GEORGIA ORTHOPAEDICS & SPORTS MEDICINE, LLC.
| 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.