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ORTHOATLANTA LLC NPI 1467594242


NPI Information

NPI: 1467594242
Provider Name: ORTHOATLANTA, LLC
Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Organization

CLIA Number: 11D2029511

Address:
3672 MARATHON CIR
STE 200
AUSTELL, GA
ZIP 30106
Phone: (770) 944-3303
Get Directions

ORTHOATLANTA, LLC is an orthopaedic surgery in Austell, GA. The provider is 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. ORTHOATLANTA, LLC NPI is 1467594242. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3672 MARATHON CIR
STE 200
AUSTELL, GA
ZIP 30106-821
Phone: (770) 944-3303
Fax: (770) 944-0285

The provider's authorized official is Michael Ochal .
The authorized official title is Ceo and has the following contact phone number (770) 953-6929.

The CLIA number assigned to this NPI record is 11D2029511 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/12/2007 and was last updated on 9/13/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207X00000XOrthopaedic SurgeryYes
2207XS0106XOrthopaedic SurgeryHand SurgeryNo
3207XS0114XOrthopaedic SurgeryAdult Reconstructive Orthopaedic SurgeryNo
4207XS0117XOrthopaedic SurgeryOrthopaedic Surgery of the SpineNo
5207XX0004XOrthopaedic SurgeryFoot and Ankle SurgeryNo
6207XX0005XOrthopaedic SurgerySports MedicineNo
7208100000XPhysical Medicine & RehabilitationNo
8225100000XPhysical TherapistNo
9225X00000XOccupational TherapistNo
10363A00000XPhysician AssistantNo
11363L00000XNurse PractitionerNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1GRP4696MEDICARE PINGEORGIA
21467594242MEDICARE NSCGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.