PINNACLE ORTHOPAEDICS & SPORTS MEDICINE SPECIALISTS LLC (NPI# 1194815175) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194815175 |
Entity Type | Organization |
Organization Name | PINNACLE ORTHOPAEDICS & SPORTS MEDICINE SPECIALISTS LLC |
Practice Address |
300 Tower Rd Ne Suite 200 Marietta GA 30060-9404 |
Mailing Address |
300 Tower Rd Ne Suite 101 Marietta GA 30060-9404 |
Practice Telephone | 7704275717 |
Practice Fax Number | 7704296503 |
Mailing Telephone | 7704275717 |
Mailing Fax Number | 7704296503 |
Enumeration Date | 2006-10-13 |
Last Update Date | 2019-11-12 |
Authorized Official Name | MRS. DONNA FISHER (ADMINISTRATOR) |
Authorized Official Telephone | 7704275717 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 174400000X | Specialist | 174400000X | GA | Other Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013059823 | Pinnacle Orthopaedics & Sports Medicine Specialists LLC | Orthopaedic Surgery | 3747 Roswell Rd Ste 319, Marietta, GA 30062-6227 | 2007-02-12 |
1316089121 | Pinnacle Orthopaedics & Sports Medicine Specialists LLC | Orthopaedic Surgery | 1505 Stonebridge Parkway, Suite 200, Woodstock, GA 30189-0000 | 2007-02-12 |
1003367707 | Pinnacle Orthopaedics & Sports Medicine Specialists LLC | Specialist | 300 Tower Rd Ne, Suite 100, Marietta, GA 30060-9404 | 2016-10-18 |
1003214933 | Pinnacle Orthopaedics & Sports Medicine Specialists LLC | Orthopaedic Surgery | 144 Bill Carruth Pkwy, Suite 4700, Hiram, GA 30141-3818 | 2014-12-09 |
1053453852 | Pinnacle Orthopaedics & Sports Medicine Specialists LLC | Orthopaedic Surgery | 720 Transit Ave, Suite 202, Canton, GA 30114 | 2007-02-12 |
1649312448 | Pinnacle Orthopaedics & Sports Medicine Specialists LLC | Orthopaedic Surgery | 300 Tower Rd Ne Ste 200, Marietta, GA 30060-9403 | 2007-02-12 |
Street Address |
300 TOWER RD NE SUITE 200 |
City | MARIETTA |
State | GA |
Zip Code | 30060-9404 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578566527 | Stanley H Dysart | Orthopaedic Surgery | 300 Tower Rd Ne, Ste 200, Marietta, GA 30060-9403 | 2005-05-23 |
1023559135 | Adam Colon | Specialist/Technologist | 300 Tower Rd Ne, 200, Marietta, GA 30060-9404 | 2017-03-09 |
1003367707 | Pinnacle Orthopaedics & Sports Medicine Specialists LLC | Specialist | 300 Tower Rd Ne, Suite 100, Marietta, GA 30060-9404 | 2016-10-18 |
1023565199 | Derek Austin Dubois | Nurse Practitioner | 300 Tower Rd Ne, Suite 200, Marietta, GA 30060-9404 | 2016-09-07 |
1861841264 | Kadesha Massaud | Nurse Practitioner | 300 Tower Rd Ne, Suite 200, Marietta, GA 30060-9404 | 2016-06-07 |
1164888582 | Julianna Hartzel | Physical Therapist | 300 Tower Rd Ne, Suite100, Marietta, GA 30060-9404 | 2016-01-14 |
1730577172 | Pinnacle Orthopaedics | Specialist | 300 Tower Rd Ne, Suite 200, Marietta, GA 30060-9404 | 2015-01-08 |
1902213853 | Jeremy Daniel Melton | Physician Assistant | 300 Tower Rd Ne, Suite 200, Marietta, GA 30060-9404 | 2014-07-11 |
1235540659 | Aaron T. Richardson | Physical Therapist | 300 Tower Rd Ne, Suite 100, Marietta, GA 30060-9404 | 2014-05-20 |
1629395140 | Michelle Ann Ray | Physician Assistant | 300 Tower Rd Ne, Suite 200, Marietta, GA 30060-9404 | 2010-04-23 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144845116 | Legacy Center for Spinal Surgery, LLC | Neurological Surgery | 1900 The Exchange, Ne, Suite 600, Marietta, GA 30060 | 2020-06-15 |
1407477193 | Michael Cynil Daniel | Counselor | 698 N Marietta, Pkwy, Marietta, GA 30060 | 2020-05-04 |
1285253401 | Cameron Thomas Kennelly | Student in an Organized Health Care Education/Training Program | 677 Church Street Ne Attn:gme, Marietta, GA 30060 | 2020-04-09 |
1922640739 | Jeremiah George Blair | Physician Assistant | 61 Whitcher St Suite 2100, Marietta, GA 30060 | 2019-10-14 |
1164064945 | Denise Alicia Mick | Registered Nurse | 677 Church St Wellstar Kennestone Hospital, Marietta, GA 30060 | 2019-10-12 |
1184283772 | Iora Health Georgia, P.C. | Internal Medicine | 280 Cobb Pkwy Se, Suite 60, Marietta, GA 30060 | 2019-06-07 |
1346703212 | Caitlin Virginia Mueller | Student in an Organized Health Care Education/Training Program | 677 Church Street Ne, Attn: Gme, Marietta, GA 30060 | 2019-04-08 |
1184187205 | Adero Francis | Student in an Organized Health Care Education/Training Program | Wellstar Kennestone Gme Internal Medicine Clinic, 833 Campbell Hill St Nw, Suite 250, Marietta, GA 30060 | 2019-04-08 |
1659832749 | Matthew Mozzo | Student in an Organized Health Care Education/Training Program | 677 Church Street / Lower Level, Gme Department / I.m., Marietta, GA 30060 | 2019-03-29 |
1245797430 | La'myia Spentz | Specialist | 109 Anderson St Ne, Suite 608, Marietta, GA 30060 | 2019-02-25 |
Find all providers in zip 30060 |
Taxonomy Code | 174400000X |
Grouping | Other Service Providers |
Classification | Specialist |
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
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1104286707 | B Webb, Inc | Specialist | 1675 Lower Roswell Rd, Marietta, GA 30318 | 2016-02-25 |
1982077889 | Jane A Cases Md Comprehensive Lifestyle Center LLC | Specialist | 242 Pike St, Marietta, OH 45750-3322 | 2015-11-02 |
1578971180 | April Harris | Specialist | 3015 Canton Rd Ste 11, Marietta, GA 30066-3878 | 2014-07-27 |
1306259031 | Gary Studenic | Specialist | 1395 S Marietta Pkwy Se Ste 102, Marietta, GA 30067-7852 | 2014-06-10 |
1992115448 | Strategic Billing Solutions, LLC | Specialist | 1205 Wynnes Ridge Cir Se, Marietta, GA 30067-8452 | 2014-05-06 |
1912326349 | Kayla Kendall | Specialist | 219 2nd St, Suite 206, Marietta, OH 45750-8062 | 2014-04-14 |
1235569401 | Mitchell Jablow | Specialist | 3641 Clubland Dr, Marietta, GA 30068-4003 | 2013-11-25 |
1336579101 | Christine Thomas | Specialist | 406 Scammel St, Marietta, OH 45750-2009 | 2013-11-15 |
1922379304 | The Injury Wellness Surgical and Procedure Institute LLC | Specialist | 2483 Powder Springs Rd Sw, Ste C, Marietta, GA 30064-4573 | 2012-01-18 |
1235440264 | Silasmasih In-home Therapy Services,llc | Specialist | 184 Parkstone Way, Marietta, GA 30066-4977 | 2010-06-24 |
Find all providers in MARIETTA |
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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.