ORTHOPEDIC SURGEONS OF GEORGIA LLC (NPI# 1396084158) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396084158 |
| Entity Type | Organization |
| Organization Name | ORTHOPEDIC SURGEONS OF GEORGIA LLC |
| Other Organization Name | OPTIM ORTHOPEDICS |
| Practice Address |
2015 Alice St Waycross GA 31501-6209 |
| Mailing Address |
210 E Derenne Ave Attn Provider Enrollment Savannah GA 31405-6736 |
| Practice Telephone | 9125480590 |
| Practice Fax Number | 9126445260 |
| Mailing Telephone | 9126445300 |
| Mailing Fax Number | 9126445260 |
| Enumeration Date | 2013-02-13 |
| Last Update Date | 2015-04-09 |
| Authorized Official Name | MRS. LAVONDA L. CRAVEY (CONTROLLER) |
| Authorized Official Telephone | 9123835600 |
| Is Organization Subpart | Y |
| Parent Organization Name | ORTHOPEDIC SURGEONS OF GEORGIA, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Optim Orthopedics | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306125174 | Orthopedic Surgeons of Georgia LLC | Orthopaedic Surgery | 2804 N Oak St Ste C, Valdosta, GA 31602-5913 | 2011-08-11 |
| 1487144960 | Orthopedic Surgeons of Georgia LLC | Physical Medicine & Rehabilitation | 11 Cross St, Hazlehurst, GA 31539-6427 | 2018-05-10 |
| 1477042935 | Orthopedic Surgeons of Georgia LLC | Physical Medicine & Rehabilitation | 1050 Valdosta Hwy, Homerville, GA 31634-9701 | 2018-05-09 |
| 1780963553 | Orthopedic Surgeons of Georgia LLC | Orthopaedic Surgery | 17 Johnson St, Hazlehurst, GA 31539-6243 | 2011-08-11 |
| 1205115078 | Orthopedic Surgeons of Georgia LLC | Orthopaedic Surgery | 1622 Madison Ave, Tifton, GA 31794-3756 | 2011-08-11 |
| 1427337294 | Orthopedic Surgeons of Georgia LLC | Orthopaedic Surgery | 100 Doctors Dr Ste I, Douglas, GA 31533-2211 | 2011-08-11 |
| Street Address |
2015 ALICE ST |
| City | WAYCROSS |
| State | GA |
| Zip Code | 31501-6209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518951953 | Doctors' Office Md PC | Family Medicine | 2015 Alice St, Waycross, GA 31501-6209 | 2005-08-31 |
| 1740813948 | Jenna Holland Williams | Nurse Practitioner | 2015 Alice St, Waycross, GA 31501-6209 | 2020-02-15 |
| 1689140600 | Trimed Advance Health, LLC | Family Medicine | 2015 Alice St, Waycross, GA 31501-6209 | 2018-10-17 |
| 1114351822 | Vanessa Vershel Moseley | Nurse Practitioner | 2015 Alice St, Waycross, GA 31501-6209 | 2013-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962906115 | Davenport Health Pa | Family Medicine | 1401 Cherokee Drive, Waycross, GA 31501 | 2018-03-22 |
| 1962940478 | Blake Darren Aldridge | Physical Therapy Assistant | 401 Preston Street, Waycross, GA 31501 | 2017-02-03 |
| 1669922142 | Jebediah S. Christy Dds - Waycross Pllc | Dentist | 2271 Memorial Dr, Waycross, GA 31501 | 2016-10-10 |
| 1558721944 | Jana Kirby | Massage Therapist | 1599 Knight Ave., Kallman Chiropractic Center, Waycross, GA 31501 | 2016-02-29 |
| 1962877001 | Courtney Baldwin | Specialist/Technologist, Other | 2403 Spurgeon St, Waycross, GA 31501 | 2015-12-01 |
| 1912389784 | Grayson Stuart Griffis | Dentist | 2103 Tebeau St., Waycross, GA 31501 | 2015-06-29 |
| 1730561267 | Trishla Amit Desai | Internal Medicine | Memorial Satilla Health, 1900 Tebeau Street, Waycross, GA 31501 | 2015-06-20 |
| 1316330913 | Hanger Prosthetics & Orthotics, Inc. | Prosthetic/Orthotic Supplier | 512 City Blvd Ste H, Waycross, GA 31501 | 2015-03-06 |
| 1942699079 | Jose Ramon Martinez | Anesthesiology | 701 City Blvd, Waycross, GA 31501 | 2015-01-13 |
| 1023356714 | Orthopedics Surgeons of Georgia, LLC | Orthopaedic Surgery | 2015 Alice Street, Waycross, GA 31501 | 2013-01-30 |
| Find all providers in zip 31501 | ||||
| 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 |
|---|---|---|---|---|
| 1023356714 | Orthopedics Surgeons of Georgia, LLC | Orthopaedic Surgery | 2015 Alice Street, Waycross, GA 31501 | 2013-01-30 |
| 1902430457 | Tattnall Hospital Company LLC | Orthopaedic Surgery | 305 Pineview Dr, Waycross, GA 31501-5229 | 2020-02-24 |
| 1124367412 | Orthopedic Center PC | Orthopaedic Surgery | 2015 Alice Street, Waycross, GA 31501 | 2013-02-06 |
| 1356600340 | Anil K Menedal | Orthopaedic Surgery | 1406 Habersham Dr, Waycross, GA 31501-5306 | 2012-05-10 |
| 1114206208 | South Georgia Physicians Group, LLC | Orthopaedic Surgery | 1406 Habersham Dr, Waycross, GA 31501-5306 | 2011-08-08 |
| 1720302292 | Bacon County Health Services, Inc. | Orthopaedic Surgery | 2003 Alice St, Ste A, Waycross, GA 31501-6209 | 2010-03-26 |
| 1831395052 | Stephen Randall Adcock | Orthopaedic Surgery | 2002 Alice St, Waycross, GA 31501-6210 | 2007-06-25 |
| 1518066547 | Robert S Lykens | Orthopaedic Surgery | 2002 Alice St, Waycross, GA 31501 | 2006-09-22 |
| 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.