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ACADEMY ORTHOPEDICS LLC NPI 1356317903


NPI Information

NPI: 1356317903
Provider Name: ACADEMY ORTHOPEDICS LLC
Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Organization

CLIA Number: 11D0985939

Address:
318 TRIBBLE GAP RD
CUMMING, GA
ZIP 30040
Phone: (770) 889-0891
Get Directions

ACADEMY ORTHOPEDICS LLC is an orthopaedic surgery in Cumming, 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. ACADEMY ORTHOPEDICS LLC NPI is 1356317903. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

318 TRIBBLE GAP RD
CUMMING, GA
ZIP 30040-440
Phone: (770) 889-0891
Fax: (770) 889-0354

The provider's authorized official is Micheal J Kalson .
The authorized official title is Managing Member and has the following contact phone number (770) 889-0891.

The CLIA number assigned to this NPI record is 11D0985939 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/24/2006 and was last updated on 6/27/2017.


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 Surgery035755GEORGIANo
2207X00000XOrthopaedic SurgeryG67930GEORGIANo
3207X00000XOrthopaedic Surgery028421GEORGIAYes

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
1647209001OTHERGEORGIAMEDICARE DME
2300025973DMEDICAIDGEORGIA
3=========OTHERGEORGIAEIN

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

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