ACADEMY ORTHOPEDICS, LLC (NPI# 1659451078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659451078 |
| Entity Type | Organization |
| Organization Name | ACADEMY ORTHOPEDICS, LLC |
| Other Organization Name | DBA ACADEMY ORTHOPEDICS, LLC, AMBULATORY SURGICAL CENTER |
| Practice Address |
318 Tribble Gap Rd Cumming GA 30040-2440 |
| Practice Telephone | 7708890893 |
| Practice Fax Number | 7708890354 |
| Mailing Telephone | 7708890893 |
| Mailing Fax Number | 7708890354 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2013-09-13 |
| Authorized Official Name | DR. MICHAEL J KALSON (OWNER) |
| Authorized Official Telephone | 7708890891 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | ACADEMY ORTHOPEDICS, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
058-218 | GA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | DHR PERMIT | 058-218 | 01 |
| Other Name | Type Code |
|---|---|
| dba Academy Orthopedics, LLC, Ambulatory Surgical Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891229068 | Academy Orthopedics, LLC | Orthopaedic Surgery | 3929 Carter Rd, Buford, GA 30518-1628 | 2017-04-14 |
| 1255865424 | Academy Orthopedics, LLC | Orthopaedic Surgery | 3540 Duluth Park Ln Ste 200, Duluth, GA 30096-6608 | 2017-04-14 |
| 1548794712 | Academy Orthopedics, LLC | Orthopaedic Surgery | 318 Tribble Gap Rd, Cumming, GA 30040-2440 | 2017-04-14 |
| Street Address |
318 TRIBBLE GAP RD |
| City | CUMMING |
| State | GA |
| Zip Code | 30040-2440 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356317903 | Academy Orthopedics LLC | Orthopaedic Surgery | 318 Tribble Gap Rd, Cumming, GA 30040-2440 | 2006-02-24 |
| 1548794712 | Academy Orthopedics, LLC | Orthopaedic Surgery | 318 Tribble Gap Rd, Cumming, GA 30040-2440 | 2017-04-14 |
| 1861665457 | James William Duckett IIi | Orthopaedic Surgery | 318 Tribble Gap Rd, Cumming, GA 30040-2440 | 2008-04-04 |
| 1912098773 | Michael Joel Kalson | Orthopaedic Surgery | 318 Tribble Gap Rd, Cumming, GA 30040-2440 | 2006-09-27 |
| 1356432066 | Jesse Edward Seidman | Orthopaedic Surgery | 318 Tribble Gap Rd, Cumming, GA 30040-2440 | 2006-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427684729 | Am Nollenberger Counseling | Counselor | 327 Dahlonega Street Ste 901 A, Cumming, GA 30040 | 2020-03-18 |
| 1497388904 | Ben Allen Sanders | Pharmacist | Kroger Pharmacy 627, 5550 Bethelview Road, Cumming, GA 30040 | 2020-02-13 |
| 1407415615 | Jacqueline Small | Nurse Practitioner | 407 W Maple St # 101, Cumming, GA 30040 | 2019-06-11 |
| 1336706316 | Mary Kathleen Hesidence | Nurse Practitioner | 81 Northside Dr, #100, Dawsonville, GA 30040 | 2019-05-24 |
| 1851958334 | North Georgia Pathology | Pathology | 4150 Deputy Bill Cantrell Memorial Rd Suite 200, Cumming, GA 30040 | 2019-05-21 |
| 1598320087 | Emily Rebecca Downs | Physician Assistant | 3970 Deputy Bill Cantrell Memorial Road Ste 150, Cumming, GA 30040 | 2019-05-09 |
| 1215490057 | Shine Speech Language Therapy LLC | Speech-Language Pathologist | 107 Pilgrim Village Dr Suite 400, Cumming, GA 30040 | 2019-04-09 |
| 1417430075 | Ashley Michelle Nollenberger | Counselor | 327 Dahlonega Street, Ste 901 A, Cumming, GA 30040 | 2018-09-10 |
| 1518445410 | Village Pediatrics At Vickery | Pediatrics | 7185 Colfax Aveune, Suite 200, Cumming, GA 30040 | 2018-08-02 |
| 1306339841 | Fukuzato Eyecare, Inc | Optometrist | 3670 Hutchinson Rd Ste A&b, Cumming, GA 30040 | 2018-06-09 |
| Find all providers in zip 30040 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447753173 | Advanced Center for Joint Surgery, LLC | Clinic/Center | 2000 Howard Farm Drive, Suite T100, Cumming, GA 30041-3004 | 2018-03-08 |
| 1639696529 | North Atlanta Ear, Nose & Throat Surgical Center, LLC | Clinic/Center | 4150 Deputy Bill Cantrell Memorial Dr, Ste 160, Cumming, GA 30040 | 2017-08-23 |
| 1639148380 | Northwoods Surgery Center LLC | Clinic/Center | 1230 Bald Ridge Marina Rd, Suite 8, Cumming, GA 30041 | 2006-03-15 |
| 1649746090 | Forsyth Eye Surgery Center, LLC | Clinic/Center | 1034 Haw Creek Circle, Suite 200, Cumming, GA 30041-6513 | 2018-10-23 |
| 1780199356 | Georgia Urology Asc Cumming | Clinic/Center | 4150 Deputy Bill Cantrell Memorial Road, Suite 140a, Cumming, GA 30040 | 2017-12-05 |
| 1497105803 | Georgia Interventional Pain - C, LLC | Clinic/Center | 1200 Bald Ridge Marina Rd, Suite 160, Cumming, GA 30041-8526 | 2016-06-16 |
| 1780075861 | Roswell Eye Surgery Center, LLC | Clinic/Center | 970 Sanders Rd, Suite 100, Cumming, GA 30041-5979 | 2015-02-11 |
| 1578837258 | North Atlanta Eye Surgery Center LLC | Clinic/Center | 970 Sanders Rd, Suite 200, Cumming, GA 30041-5979 | 2012-02-28 |
| 1013120336 | Forsyth Surgical Center | Clinic/Center | 634 Peachtree Pkwy, Ste. 100, Cumming, GA 30041-9782 | 2007-05-07 |
| 1174580518 | Reena A Yonkosky, Md PC | Clinic/Center | 110 Samaritan Dr., Suite 101, Cumming, GA 30040 | 2006-04-28 |
| Find all providers in CUMMING | ||||
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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.