ATHENS ORTHOPEDIC CLINIC, PA (NPI# 1366963811) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366963811 |
| Entity Type | Organization |
| Organization Name | ATHENS ORTHOPEDIC CLINIC, PA |
| Practice Address |
528 Panther Dr Jefferson GA 30549-5400 |
| Mailing Address |
1765 Old West Broad St Bldg 2, Ste 200 Athens GA 30606-2853 |
| Practice Telephone | 7065491663 |
| Practice Fax Number | 7065468792 |
| Mailing Telephone | 7065491663 |
| Mailing Fax Number | 7065468792 |
| Enumeration Date | 2017-07-05 |
| Last Update Date | 2017-07-05 |
| Authorized Official Name | KARL ELLIOTT (CEO) |
| Authorized Official Telephone | 7065491663 |
| Is Organization Subpart | Y |
| Parent Organization Name | ATHENS ORTHOPEDIC CLINIC, PA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396306197 | Athens Orthopedic Clinic, Pa | Orthopaedic Surgery | 1000 Cowles Clinic Way Ste A-400, Greensboro, GA 30642-5289 | 2019-06-24 |
| 1326523572 | Athens Orthopedic Clinic, Pa | Orthopaedic Surgery | 2108 Teron Trce Ste 100, Dacula, GA 30019-1666 | 2018-10-03 |
| 1770976037 | Athens Orthopedic Clinic, Pa | Orthopaedic Surgery | 209 Mercer Pl, Commerce, GA 30529-1564 | 2015-03-11 |
| 1154714475 | Athens Orthopedic Clinic, Pa | Orthopaedic Surgery | 2151 W Spring St Ste 140, Monroe, GA 30655-3115 | 2015-03-11 |
| 1376018408 | Athens Orthopedic Clinic, Pa | Orthopaedic Surgery | 33 Chestnut St, Elberton, GA 30635-1833 | 2018-10-04 |
| 1689152365 | Athens Orthopedic Clinic, Pa | Orthopaedic Surgery | 120 Gordon St, Washington, GA 30673-1602 | 2018-08-03 |
| 1457872830 | Athens Orthopedic Clinic, Pa | Orthopaedic Surgery | 1774 Old West Broad St, Athens, GA 30606-2865 | 2017-07-06 |
| 1295256741 | Athens Orthopedic Clinic, Pa | Orthopaedic Surgery | 340 Exchange Blvd, Bethlehem, GA 30620-1759 | 2017-07-05 |
| 1306239181 | Athens Orthopedic Clinic, Pa | Orthopaedic Surgery | 855 King Ave, Athens, GA 30606-2837 | 2015-03-18 |
| 1215320098 | Athens Orthopedic Clinic, Pa | Orthopaedic Surgery | 125 King Ave, Athens, GA 30606-6734 | 2015-03-18 |
| Street Address |
528 PANTHER DR |
| City | JEFFERSON |
| State | GA |
| Zip Code | 30549-5400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790877835 | Jyotir Jani | Family Medicine | 528 Panther Dr, Jefferson, GA 30549-5400 | 2006-09-28 |
| 1598110165 | Athens Bone and Joint | Orthopaedic Surgery | 528 Panther Dr, Jefferson, GA 30549-5400 | 2016-05-02 |
| 1619336005 | Heather Nicole Pickelsimer | Nurse Practitioner | 528 Panther Dr, Jefferson, GA 30549 | 2016-02-15 |
| 1730359936 | Jigar Mukund Patel | Family Medicine | 528 Panther Dr, Jefferson, GA 30549-5400 | 2008-03-04 |
| 1750597597 | Lynne Beelman | Nurse Practitioner | 528 Panther Dr, Jefferson, GA 30549-5400 | 2007-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356723464 | Lindsey Marie Whitworth | Pharmacist | 918 Old Forge Lane, Jefferson, GA 30549 | 2015-06-25 |
| 1780835876 | Jeanna Ellis | Pharmacist | 1305 Washington St., Jefferson, GA 30549 | 2008-10-07 |
| 1578769246 | William Robert Newell | Dentist | 1689 Old Pendergrass Rd., Suite 350, Jefferson, GA 30549 | 2007-06-21 |
| 1003950825 | Regional Firstcare | Emergency Medicine | 528 Panther Drive, Jefferson, GA 30549 | 2007-02-16 |
| 1629118096 | Susan Marie Bell | Dietitian, Registered | 341 General Jackson Drive, Jefferson, GA 30549 | 2007-02-07 |
| 1538254008 | Douglas E Cleveland | Dentist | 411 Athens Street, Jefferson, GA 30549 | 2006-10-03 |
| 1740382894 | Tammy G Smith | Clinic/Center | 2610 Hwy 129 N, Jefferson, GA 30549 | 2006-09-01 |
| 1881641264 | Peak Rehabilitation, Inc | Clinic/Center | 1660 Washington St, Jefferson, GA 30549 | 2006-05-30 |
| 1801372578 | Stephen Edward Conwell | Nurse Practitioner | 1685 Old Pendergrass Rd, Jefferson, GA 30549 | 2018-07-16 |
| 1255871992 | Life Point Dental | Clinic/Center | 660 Washington St., Jefferson, GA 30549 | 2017-02-28 |
| Find all providers in zip 30549 | ||||
| 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 |
|---|---|---|---|---|
| 1851703938 | Mohammed Asad Khalid | Orthopaedic Surgery | 1201 S Clearview Pkwy Bldg 1, Jefferson, LA 70121-1015 | 2014-05-23 |
| 1861682791 | Walter S Choate | Orthopaedic Surgery | 1201 S Clearview Pkwy Fl 1, Jefferson, LA 70121-1015 | 2007-07-26 |
| 1376053512 | Ashe Financial Services, LLC | Orthopaedic Surgery | 200 Hospital Ave, Jefferson, NC 28640-9244 | 2017-10-02 |
| 1598110165 | Athens Bone and Joint | Orthopaedic Surgery | 528 Panther Dr, Jefferson, GA 30549-5400 | 2016-05-02 |
| 1376962001 | Emmanuel N. Koli | Orthopaedic Surgery | 1201 S Clearview Pkwy Bldg B, Jefferson, LA 70121 | 2014-04-09 |
| 1497013544 | Kian Setayesh | Orthopaedic Surgery | 1201 S Clearview Pkwy, Jefferson, LA 70121-1015 | 2012-04-26 |
| 1174726962 | Jeffrey Robert Wahl | Orthopaedic Surgery | 1000 W Lincolnway St, Suite Wco, Jefferson, IA 50129-1645 | 2007-06-08 |
| 1104884964 | Ronald William Benfield | Orthopaedic Surgery | 200 Hospital Ave, Jefferson, NC 28640 | 2006-05-02 |
| 1801877345 | Chauncey B Santos Md PC | Orthopaedic Surgery | 200 Hospital Ave, Ste 2, Jefferson, NC 28640-0880 | 2005-11-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| Find all providers with the same taxonomy | ||||
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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.