Provider Type Icon

GEORGIA SPORTS MEDICINE LLC NPI 1710160601


NPI Information

NPI: 1710160601
Provider Name: GEORGIA SPORTS MEDICINE, LLC
Classification: Orthopaedic Surgery - 207XX0005X
Entity Type: Organization

Specialization: Sports Medicine

Address:
6340 SUGARLOAF PKWY
STE 375
DULUTH, GA
ZIP 30097
Phone: (770) 814-2223
Get Directions

GEORGIA SPORTS MEDICINE, LLC is a sports medicine orthopaedic surgery in Duluth, GA. The provider is an orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. GEORGIA SPORTS MEDICINE, LLC NPI is 1710160601. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6340 SUGARLOAF PKWY
STE 375
DULUTH, GA
ZIP 30097-333
Phone: (770) 814-2223
Fax: (770) 814-2232

The provider's authorized official is Mark Cullen .
The authorized official title is Propietor and has the following contact phone number (770) 814-2223.

The enumeration date for this NPI number is 12/13/2007 and was last updated on 10/7/2011.


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
1207XX0005XOrthopaedic SurgerySports Medicine043191GEORGIAYes

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
16195050001MEDICARE NSCGEORGIA
2GRP5069OTHERGEORGIAMEDICARE GROUP ID

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.