ORTHOPEDICS SPORTS MEDICINE & SURGERY, LLC (NPI# 1831413962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831413962 |
| Entity Type | Organization |
| Organization Name | ORTHOPEDICS SPORTS MEDICINE & SURGERY, LLC |
| Practice Address |
612 W Gordon St Suite E Thomaston GA 30286-3480 |
| Mailing Address |
Po Box 589 801 West Gordon St Thomaston GA 30286-0008 |
| Practice Telephone | 7066473030 |
| Practice Fax Number | 7066473033 |
| Mailing Telephone | 7066478111 |
| Mailing Fax Number | 7066474389 |
| Enumeration Date | 2010-03-18 |
| Last Update Date | 2012-07-30 |
| Authorized Official Name | MS. CAROL L HOPPER (DIRECTOR PHYSICIAN SEVICES) |
| Authorized Official Telephone | 7066473035 |
| Authorized Official Credential | M.ED., RRT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | BOYCE MCD BV | 003121667B | 01 |
| GA | BOYCE MCD TH | 003121667A | 01 |
| GA | 003122757A | 05 |
| Street Address |
612 W GORDON ST SUITE E |
| City | THOMASTON |
| State | GA |
| Zip Code | 30286-3480 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003818741 | Norman L Donati Jr. | Specialist | 612 W Gordon St, Ste A, Thomaston, GA 30286-3416 | 2005-08-12 |
| 1417359860 | Lynn Barnes | Specialist/Technologist | 612 W Gordon St, Suite E, Thomaston, GA 30286-3480 | 2014-09-17 |
| 1205277993 | Brandi Jackson Swatts | Nurse Practitioner | 612 W Gordon St, Thomaston, GA 30286-3480 | 2013-07-10 |
| 1588904833 | Hugh D. Smith, M.d., LLC | Obstetrics & Gynecology | 612 W Gordon St, Suite B, Thomaston, GA 30286-3480 | 2013-02-25 |
| 1154577872 | Darryl Hugh Knight | Surgery | 612 W Gordon St, Suite B, Thomaston, GA 30286-3480 | 2008-08-13 |
| 1578783080 | Upson Orthopaedic Clinic | Specialist | 612 W Gordon St, Ste A, Thomaston, GA 30286-3416 | 2007-04-26 |
| 1235238239 | Brandon Mark Boyce | Specialist | 612 W Gordon St, Suite E, Thomaston, GA 30286-3480 | 2006-09-22 |
| 1275577934 | Mark E Dorogy | Internal Medicine | 612 W Gordon St, Suite C, Thomaston, GA 30286-3480 | 2006-06-15 |
| 1386691285 | Flint River Surgical Associates, LLC | Surgery | 612 W Gordon St, Suite B, Thomaston, GA 30286-3416 | 2006-05-27 |
| 1992750012 | Robert Solyomvari | Surgery | 612 W Gordon St, Suite B, Thomaston, GA 30286-3416 | 2006-05-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093190670 | Careconnect Health, Inc. | Clinic/Center | 101 Deluxe Circle, Suite B, Thomaston, GA 30286 | 2015-07-24 |
| 1366859092 | Rhanada Shanae Wyche | Licensed Practical Nurse | 1226 Trice Cemetery Spur, Thomaston, GA 30286 | 2014-07-15 |
| 1083842918 | Upson Family Physicians, Lc | Family Medicine | 612 West Gordon Street, Suite C, Thomaston, GA 30286 | 2009-06-30 |
| 1942421557 | Melanie B Jackson | Licensed Practical Nurse | 605 West Gordon, Thomaston, GA 30286 | 2007-05-01 |
| 1114064540 | Kevin Lee Delli-gatti | Pediatrics | 403 W Gordon St, Thomaston, GA 30286 | 2007-02-01 |
| 1356487367 | Fuller Life Chiropractic Center | Chiropractor | 1619 Hwy 19 North, Thomaston, GA 30286 | 2007-01-29 |
| 1013072339 | Tommy Wayne Farr | Dentist | 98 Short E St, Thomaston, GA 30286 | 2006-12-27 |
| 1841301900 | Kenneth Murray Deen | Ophthalmology | 232 Cherokee Road, Thomaston, GA 30286 | 2006-08-31 |
| 1659489987 | William B Gardner | Dentist | 507 W Gordon St, Thomaston, GA 30286 | 2006-08-28 |
| 1619936895 | Sabrina M. Lancaster | Nurse Practitioner | 503 West Grodon St, Thomaston, GA 30286 | 2006-03-17 |
| Find all providers in zip 30286 | ||||
| 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. |
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|---|---|---|---|---|
| 1790386258 | Thrive Orthopaedics LLC | Orthopaedic Surgery | 5775 Peachtree Dunwoody Rd Ne Ste C150a, Atlanta, GA 30342-1501 | 2020-11-02 |
| 1568061000 | Esrpa | Orthopaedic Surgery | 1717 Benhill Dr, Snellville, GA 30078-2595 | 2020-10-24 |
| 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 |
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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.