ORTHOPEDIC SURGEONS OF GEORGIA LLC (NPI# 1477042935) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477042935 |
| Entity Type | Organization |
| Organization Name | ORTHOPEDIC SURGEONS OF GEORGIA LLC |
| Other Organization Name | ORTHOPEDIC SURGEONS OF GEORGIA - HOMERVILLE |
| Practice Address |
1050 Valdosta Hwy Homerville GA 31634-9701 |
| Mailing Address |
1100 Ward Street Ext W Douglas GA 31533-1902 |
| Practice Telephone | 9123836575 |
| Practice Fax Number | 9123836476 |
| Mailing Telephone | 9123841477 |
| Enumeration Date | 2018-05-09 |
| Last Update Date | 2018-05-09 |
| Authorized Official Name | LAVONDA LOTT CRAVEY (CONTROLLER) |
| Authorized Official Telephone | 9123841900 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Orthopedic Surgeons of Georgia - Homerville | 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 |
| 1396084158 | Orthopedic Surgeons of Georgia LLC | Orthopaedic Surgery | 2015 Alice St, Waycross, GA 31501-6209 | 2013-02-13 |
| 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 |
1050 VALDOSTA HWY |
| City | HOMERVILLE |
| State | GA |
| Zip Code | 31634-9701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861478851 | Clinch County Hospital Authority | Ambulance | 1050 Valdosta Hwy, Homerville, GA 31634-2418 | 2005-12-21 |
| 1093223778 | Southland Clinch Emergency Medical Services, LLC | Emergency Medicine | 1050 Valdosta Hwy, Homerville, GA 31634-9701 | 2018-01-17 |
| 1891738308 | Clinch County Hospital Authority | General Acute Care Hospital | 1050 Valdosta Hwy, Homerville, GA 31634-2418 | 2006-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467976159 | Joy Sumner | Contractor | 191 Court Street, Homerville, GA 31634 | 2017-08-03 |
| 1912241720 | Pratyusha Chetan Patel | Pharmacist | 191 North Church Street, Riteaid Pharmacy, Homerville, GA 31634 | 2012-11-16 |
| 1639426836 | Quitman Family Dentistry LLC | Clinic/Center | 1306 E. Screven Street, Quitman, GA 31634 | 2012-08-07 |
| 1154467470 | Unison Behavioral Health | Day Training, Developmentally Disabled Services | 551 Old Pearson Road, Pearson, GA 31634 | 2007-01-30 |
| 1295894509 | Shannon Davis Smith | Chiropractor | 235 North Church Street, Homerville, GA 31634 | 2006-12-06 |
| 1174595722 | Lynn Fletcher | Nurse Practitioner | 80 Huxford St, Homerville, GA 31634 | 2006-02-07 |
| 1114910429 | Heather Marie Moss | Physician Assistant | Clinch Memorial Hospital, 1050 Valdosta Hwy, Homerville, GA 31634 | 2005-08-23 |
| 1790223667 | Igor Ancor | Internal Medicine | 80 Huxford St, Homerville, GA 31634 | 2017-02-10 |
| 1063961522 | Betsy Daugharty Clifton | Nurse Practitioner | 180 Carswell St, Homerville, GA 31634 | 2016-09-26 |
| 1861856486 | Golden Isles Chiropractic | Point of Service | 62 Lisa Rd, Homerville, GA 31634-1513 | 2016-04-09 |
| Find all providers in zip 31634 | ||||
| Taxonomy Code | 2081P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pain Medicine |
| A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700490091 | Interventional and Alternative Spine and Wellness, LLC | Physical Medicine & Rehabilitation | 3630 Wheeler Rd, Augusta, GA 30909-6561 | 2020-09-03 |
| 1881205151 | Georgia Regenrx, LLC. | Physical Medicine & Rehabilitation | 5755 N Point Pkwy Ste 72, Alpharetta, GA 30022-1146 | 2020-08-11 |
| 1710514989 | Jennifer Meyer | Physical Medicine & Rehabilitation | 1554 Riverstone Pkwy Ste 160, Canton, GA 30114-2887 | 2020-03-26 |
| 1982172060 | Back To Life Pain Center, LLC | Physical Medicine & Rehabilitation | 410 Creekstone Rdg, Woodstock, GA 30188-3740 | 2018-11-07 |
| 1760900708 | Neuro Diagnostic Group LLC | Physical Medicine & Rehabilitation | 200 Galleria Pkwy Se Ste 100, Atlanta, GA 30339-5944 | 2017-08-30 |
| 1386195378 | Pain Management and Rehabilitation | Physical Medicine & Rehabilitation | 4121 Steve Reynolds Blvd, Norcross, GA 30093-3060 | 2016-10-14 |
| 1124471172 | Pain Management and Rehabilitation | Physical Medicine & Rehabilitation | 4131 Steve Reynolds Blvd, Norcross, GA 30093-3060 | 2016-07-14 |
| 1043671761 | Pain Management and Rehabilitation Inc | Physical Medicine & Rehabilitation | 3955 Lawrenceville Hwy Nw, Lilburn, GA 30047-2996 | 2016-03-08 |
| 1356761191 | Simon Matt Willis | Physical Medicine & Rehabilitation | 114 Canal St Ste 503, Pooler, GA 31322-4261 | 2014-04-20 |
| 1891139663 | Advanced Pain and Rahabilitation PC | Physical Medicine & Rehabilitation | 3030 Mcever Rd Ste 300, Gainesville, GA 30504-5538 | 2013-04-24 |
| Find all providers with the same taxonomy | ||||
| City | HOMERVILLE |
| Zip Code | 31634 |
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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.