ACADEMY ORTHOPEDICS, LLC (NPI# 1548794712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548794712 |
| Entity Type | Organization |
| Organization Name | ACADEMY ORTHOPEDICS, LLC |
| Practice Address |
318 Tribble Gap Rd Cumming GA 30040-2440 |
| Practice Telephone | 7708890891 |
| Practice Fax Number | 7708890354 |
| Mailing Telephone | 7708890891 |
| Mailing Fax Number | 7708890354 |
| Enumeration Date | 2017-04-14 |
| Last Update Date | 2017-06-13 |
| Authorized Official Name | BOB NUGENT (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7708890891 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | G67930 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 300025973D | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891229068 | Academy Orthopedics, LLC | Orthopaedic Surgery | 3929 Carter Rd, Buford, GA 30518-1628 | 2017-04-14 |
| 1255865424 | Academy Orthopedics, LLC | Orthopaedic Surgery | 3540 Duluth Park Ln Ste 200, Duluth, GA 30096-6608 | 2017-04-14 |
| 1659451078 | Academy Orthopedics, LLC | Clinic/Center | 318 Tribble Gap Rd, Cumming, GA 30040-2440 | 2006-10-17 |
| Street Address |
318 TRIBBLE GAP RD |
| City | CUMMING |
| State | GA |
| Zip Code | 30040-2440 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356317903 | Academy Orthopedics LLC | Orthopaedic Surgery | 318 Tribble Gap Rd, Cumming, GA 30040-2440 | 2006-02-24 |
| 1861665457 | James William Duckett IIi | Orthopaedic Surgery | 318 Tribble Gap Rd, Cumming, GA 30040-2440 | 2008-04-04 |
| 1659451078 | Academy Orthopedics, LLC | Clinic/Center | 318 Tribble Gap Rd, Cumming, GA 30040-2440 | 2006-10-17 |
| 1912098773 | Michael Joel Kalson | Orthopaedic Surgery | 318 Tribble Gap Rd, Cumming, GA 30040-2440 | 2006-09-27 |
| 1356432066 | Jesse Edward Seidman | Orthopaedic Surgery | 318 Tribble Gap Rd, Cumming, GA 30040-2440 | 2006-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427684729 | Am Nollenberger Counseling | Counselor | 327 Dahlonega Street Ste 901 A, Cumming, GA 30040 | 2020-03-18 |
| 1497388904 | Ben Allen Sanders | Pharmacist | Kroger Pharmacy 627, 5550 Bethelview Road, Cumming, GA 30040 | 2020-02-13 |
| 1407415615 | Jacqueline Small | Nurse Practitioner | 407 W Maple St # 101, Cumming, GA 30040 | 2019-06-11 |
| 1336706316 | Mary Kathleen Hesidence | Nurse Practitioner | 81 Northside Dr, #100, Dawsonville, GA 30040 | 2019-05-24 |
| 1851958334 | North Georgia Pathology | Pathology | 4150 Deputy Bill Cantrell Memorial Rd Suite 200, Cumming, GA 30040 | 2019-05-21 |
| 1598320087 | Emily Rebecca Downs | Physician Assistant | 3970 Deputy Bill Cantrell Memorial Road Ste 150, Cumming, GA 30040 | 2019-05-09 |
| 1215490057 | Shine Speech Language Therapy LLC | Speech-Language Pathologist | 107 Pilgrim Village Dr Suite 400, Cumming, GA 30040 | 2019-04-09 |
| 1417430075 | Ashley Michelle Nollenberger | Counselor | 327 Dahlonega Street, Ste 901 A, Cumming, GA 30040 | 2018-09-10 |
| 1518445410 | Village Pediatrics At Vickery | Pediatrics | 7185 Colfax Aveune, Suite 200, Cumming, GA 30040 | 2018-08-02 |
| 1306339841 | Fukuzato Eyecare, Inc | Optometrist | 3670 Hutchinson Rd Ste A&b, Cumming, GA 30040 | 2018-06-09 |
| Find all providers in zip 30040 | ||||
| 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 |
|---|---|---|---|---|
| 1841638392 | Hogan Healthcare Center PC | Orthopaedic Surgery | 610 Peachtree Pkwy Ste 203, Cumming, GA 30041-9762 | 2013-06-06 |
| 1649545906 | Neil Sanjiwan Tarabadkar | Orthopaedic Surgery | 1505 Northside Blvd Ste 3100, Cumming, GA 30041 | 2012-03-19 |
| 1942592613 | Christopher Steven Blanchard | Orthopaedic Surgery | 4150 Deputy Bill Cantrell Memorial Rd., Ste. 300, Cumming, GA 30040 | 2011-05-12 |
| 1356317903 | Academy Orthopedics LLC | Orthopaedic Surgery | 318 Tribble Gap Rd, Cumming, GA 30040-2440 | 2006-02-24 |
| 1407843568 | Keith D. Osborn | Orthopaedic Surgery | 2000 Howard Farm Dr, Cumming, GA 30041-6075 | 2005-10-04 |
| 1023433695 | Brandon Naylor | Orthopaedic Surgery | 2000 Howard Farm Dr Ste 200, Cumming, GA 30041-6081 | 2014-02-19 |
| 1053621078 | Mathew Levine | Orthopaedic Surgery | 1100 Northside Forsyth Dr, Suite 340, Cumming, GA 30041-6012 | 2010-10-08 |
| 1073847794 | Sourendra Raut | Orthopaedic Surgery | 1100 Northside Forsyth Drive, Suite 340, Cumming, GA 30041 | 2009-09-28 |
| 1588820278 | Timothy Bryan Griffith | Orthopaedic Surgery | 1505 Northside Blvd, Suite 3100, Cumming, GA 30041-7623 | 2008-08-01 |
| 1861665457 | James William Duckett IIi | Orthopaedic Surgery | 318 Tribble Gap Rd, Cumming, GA 30040-2440 | 2008-04-04 |
| Find all providers in CUMMING | ||||
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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.