GEORGIA ORTHOPEDICS AND SPORTS MEDICINE,LLC (NPI# 1588922306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588922306 |
| Entity Type | Organization |
| Organization Name | GEORGIA ORTHOPEDICS AND SPORTS MEDICINE,LLC |
| Other Organization Name | NEWTON HEALTH SYSTEM |
| Practice Address |
4181 Hospital Dr Ne Covington GA 30014-2541 |
| Mailing Address |
4181 Hospital Dr Ne Suite 204 Covington GA 30014-2541 |
| Practice Telephone | 7707886534 |
| Practice Fax Number | 7707887658 |
| Mailing Telephone | 7707886534 |
| Mailing Fax Number | 7707887658 |
| Enumeration Date | 2012-04-30 |
| Last Update Date | 2013-12-31 |
| Authorized Official Name | MRS. ANGELA ROBERTS (OFFICE MANAGER) |
| Authorized Official Telephone | 7707886534 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE PTAN | 202G702667 | 01 | |
| GA | 003126546A | 05 |
| Other Name | Type Code |
|---|---|
| Newton Health System | Other Name - Individual/Organization |
| Street Address |
4181 HOSPITAL DR NE |
| City | COVINGTON |
| State | GA |
| Zip Code | 30014-2541 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881694388 | Steven R Whitworth | Surgery | 4181 Hospital Dr Ne, Suite 303, Covington, GA 30014-2541 | 2005-07-26 |
| 1700394889 | Rhonda Ann Cook | Nurse Practitioner | 4181 Hospital Dr Ne, Suite 104, Covington, GA 30014-3001 | 2018-01-11 |
| 1902353170 | Ashley Nichole Spears | Specialist/Technologist, Other | 4181 Hospital Dr Ne, Suite 104, Covington, GA 30014-2541 | 2016-09-06 |
| 1124494588 | Hannah Addis | Nurse Practitioner | 4181 Hospital Dr Ne, Suite 202, Covington, GA 30014-2541 | 2015-08-19 |
| 1396152302 | Lana Earley | Specialist/Technologist | 4181 Hospital Dr Ne, Suite 204, Covington, GA 30014-2541 | 2014-07-22 |
| 1467727263 | Julie Buff Walter | Nurse Practitioner | 4181 Hospital Dr Ne, Suite 202, Covington, GA 30014-2541 | 2012-03-13 |
| 1225329147 | Michelle Denise White | Obstetrics & Gynecology | 4181 Hospital Dr Ne, Suite104, Covington, GA 30014-2541 | 2011-04-26 |
| 1770873929 | Sherley C Samuels | Obstetrics & Gynecology | 4181 Hospital Dr Ne, Suite 104, Covington, GA 30014-2541 | 2011-04-08 |
| 1962713537 | Pavilion Surgical Associates, LLC | Surgery | 4181 Hospital Dr Ne, Suite 303, Covington, GA 30014-2541 | 2010-06-29 |
| 1043481682 | Newton Health System, Inc. | Obstetrics & Gynecology | 4181 Hospital Dr Ne, Suite 104, Covington, GA 30014-2541 | 2008-03-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801495635 | Cathy Cassandra Collins | Pharmacist | 3639 Hwy 278, Covington, GA 30014 | 2020-10-22 |
| 1154933877 | Atl Optical LLC | Optometrist | 3135 Highway 278 Ne, Covington, GA 30014 | 2020-08-24 |
| 1932737046 | Samagas House Org | Adult Companion | 1500 Mountain View Cirlcle, Conyers, GA 30014 | 2020-04-01 |
| 1356834360 | Covington Dental Care | Dentist | 4139 Baker Street, Suite 15, Covington, GA 30014 | 2018-06-13 |
| 1487190005 | New Avenues Assessment and Counseling Center LLC | Counselor | 3192 Spring Street, Covington, NEWTON 30014 | 2017-01-07 |
| 1275903973 | Jennifer Carol Bridges | Registered Nurse | 320 Malcom Lane, Covington, GA 30014 | 2015-10-07 |
| 1134598501 | Shelby Boggus King | Physician Assistant | 4181 Hospital Drive Ne, Suite 204, Covington, GA 30014 | 2015-09-16 |
| 1366829814 | Wendy Pazdur | Counselor | 5109 Hwy 278 East, Suite D, Covington, GA 30014 | 2015-05-05 |
| 1306235445 | Covington Center for Family Dentistry | Dentist | 10373 Industrial Blvd, Covington, GA 30014 | 2015-01-13 |
| 1992103428 | Modern Cosmetic Dental Care, LLC | Clinic/Center | 1750 Highway 11, Suite B, Covington, GA 30014 | 2014-12-16 |
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| 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 |
|---|---|---|---|---|
| 1881821668 | Jason Rudd | Orthopaedic Surgery | 1200 Pinnacle Pkwy, Suite 3, Covington, LA 70433-9167 | 2009-06-18 |
| 1649441940 | Blane Adam Sessions | Orthopaedic Surgery | 601 River Highlands Blvd Ste 200, Covington, LA 70433 | 2008-03-14 |
| 1659466845 | Roch Brian Hontas | Orthopaedic Surgery | 71211 Highway 21, Covington, LA 70433-7173 | 2006-10-04 |
| 1831297647 | Daniel W Michael | Orthopaedic Surgery | 77003 Highway 1082, Covington, LA 70435-6725 | 2006-09-20 |
| 1013949619 | Matti W Palo Jr. | Orthopaedic Surgery | 70411 Highway 21, Covington, LA 70433-8103 | 2006-07-06 |
| 1477512135 | Kevin Darr | Orthopaedic Surgery | 19343 Sunshine Ave, Covington, LA 70433-8834 | 2006-03-21 |
| 1417929225 | Paul Mansfield Doty | Orthopaedic Surgery | 1115 S Tyler St, Covington, LA 70433-2327 | 2006-02-06 |
| 1588651137 | Robert T. Greenfield | Orthopaedic Surgery | 3211 Iris Dr, Covington, GA 30016-0907 | 2005-09-29 |
| 1275537920 | Tarek A Nessouli | Orthopaedic Surgery | 3211 Iris Drive, Covington, GA 30016 | 2005-06-10 |
| 1356807663 | Lmg, LLC | Orthopaedic Surgery | 19343 Sunshine Ave, Covington, LA 70433-5160 | 2019-02-12 |
| Find all providers in COVINGTON | ||||
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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.