ORTHO SPORT & SPINE PHYSICIANS SANDY SPRINGS (NPI# 1194179788) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194179788 |
| Entity Type | Organization |
| Organization Name | ORTHO SPORT & SPINE PHYSICIANS SANDY SPRINGS |
| Practice Address |
5788 Roswell Rd Atlanta GA 30328-4904 |
| Practice Telephone | 4049359116 |
| Mailing Telephone | 4049359116 |
| Enumeration Date | 2016-04-20 |
| Last Update Date | 2018-02-12 |
| Authorized Official Name | JANESSA HASTINGS (DIRECTOR OF REVENUE) |
| Authorized Official Telephone | 4049359116 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities |
| Street Address |
5788 ROSWELL RD |
| City | ATLANTA |
| State | GA |
| Zip Code | 30328-4904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679512255 | Phillip R Langer | Orthopaedic Surgery | 5788 Roswell Rd, Atlanta, GA 30328-4904 | 2006-06-06 |
| 1508364340 | Jessica Faith Anderson | Physician Assistant | 5788 Roswell Rd, Atlanta, GA 30328-4904 | 2018-01-26 |
| 1023475621 | Orthopedic Surgery Center of Sandy Springs | Clinic/Center | 5788 Roswell Rd, Atlanta, GA 30328-4904 | 2016-01-27 |
| 1992187033 | Sandra Hurtado | Physician Assistant | 5788 Roswell Rd, Suite 200, Atlanta, GA 30328-4904 | 2015-06-25 |
| 1124411335 | Melissa Hagin | Nurse Practitioner | 5788 Roswell Rd, Suite 200, Atlanta, GA 30328-4904 | 2015-03-12 |
| 1114329455 | Jonathan Whittington | Specialist/Technologist | 5788 Roswell Rd, Atlanta, GA 30328-4904 | 2014-09-18 |
| 1932525375 | Ortho Sport & Spine Physicians | Surgery | 5788 Roswell Rd, Atlanta, GA 30328-4904 | 2014-03-10 |
| 1629285549 | Hany M Helmi | Physical Medicine & Rehabilitation | 5788 Roswell Rd, Atlanta, GA 30328-4904 | 2007-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467910042 | Amber Andrews | Behavior Technician | 750 Hammond Drive Bldg 7 Suite 100, Atlanta, GA 30328 | 2019-03-04 |
| 1215492830 | Ryan William Dubinin | Behavior Technician | 750 Hammond Drive, Building 7, Suite 100, Atlanta, NJ 30328 | 2019-02-07 |
| 1346710142 | Emily Rose Lloyd Swavely | Speech-Language Pathologist | 5825 Glenridge Rd., Building 1, Suite 133, Atlanta, GA 30328 | 2018-12-05 |
| 1063994481 | Mark Edward Brachmanski | Optometrist | 800 Mount Vernon Highway Ne, Suite 130, Atlanta, GA 30328 | 2018-09-01 |
| 1407352578 | Nina Brown | Massage Therapist | 7100 Peachtree Dunwoody Rd Ste 110, Sandy Springs, GA 30328 | 2018-04-05 |
| 1336657741 | Renee Usher Reeves | Assistant Behavior Analyst | 750 Hammond Dr Building 7, Suite 100, Atlanta, GA 30328 | 2018-01-19 |
| 1487168274 | Patricia Nicole Felder | Student in an Organized Health Care Education/Training Program | 270 Carpenter Dr, Ne, Suite # 400, Atlanta, GA 30328 | 2017-12-01 |
| 1447762927 | Ponders Podiatry LLC | Podiatrist | 275 Carpenter Drive Ne, Suite 106, Atlanta, GA 30328 | 2017-10-24 |
| 1770093601 | Syed M Rasheed | Physician Assistant | 5788 Roswell Rd Ste 100, Atlanta, GA 30328 | 2017-10-05 |
| 1437678190 | Jeanette Denise Jones | Counselor | 270 Carpenter Drive, Suite 400, Sandy Springs, GA 30328 | 2017-09-13 |
| Find all providers in zip 30328 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164966461 | Pro Radiology, LLC | Clinic/Center | 60 Peachtree Park Dr Ne, Atlanta, GA 30309-1304 | 2016-12-06 |
| 1457705535 | American Health Imaging of Ga LLC | Clinic/Center | 6095 Barfield Rd, Suite 100, Atlanta, GA 30328-4408 | 2016-04-14 |
| 1891151064 | American Health Imaging of Ga, LLC | Clinic/Center | 6590 Powers Ferry Rd, Atlanta, GA 30339-2933 | 2016-01-04 |
| 1982960787 | Greater Georgia Radiology | Clinic/Center | 2002 Summit Blvd, Suite 300, Atlanta, GA 30319-1560 | 2012-04-05 |
| 1932362159 | Dallas Imaging Solutions LLC | Clinic/Center | 1555 Rainier Falls Dr Ne, Atlanta, GA 30329-4105 | 2008-07-08 |
| 1336287101 | Darco Development Co. | Clinic/Center | 3101-a Clairmont Rd, Atlanta, GA 30329 | 2007-02-02 |
| 1801834551 | Medica Stand-up Mri, LLC | Clinic/Center | 6590 Powers Ferry Rd Nw, Atlanta, GA 30339-2933 | 2006-06-03 |
| 1255339107 | Lifetest of Georgia, LLC | Clinic/Center | 1140 Hammond Dr Ne, Building I, Ste 9120, Atlanta, GA 30328-5338 | 2005-07-13 |
| 1518335769 | Dunwoody Imaging LLC | Clinic/Center | 1750 Old Spring House Ln, Suite 205, Atlanta, GA 30338-6214 | 2015-09-04 |
| 1184944118 | Functional Health Inc | Clinic/Center | 455 E Paces Ferry Rd Ne, Suite 201, Atlanta, GA 30305-3313 | 2010-06-01 |
| Find all providers in ATLANTA | ||||
Please comment or provide details below to improve the information on ORTHO SPORT & SPINE PHYSICIANS SANDY SPRINGS.
| 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.