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GEORGIA SPINE SPECIALISTS NPI 1558528190


NPI Information

NPI: 1558528190
Provider Name: GEORGIA SPINE SPECIALISTS
Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Organization
Address:
51 GORDON RD
SUITE 1
JASPER, GA
ZIP 30143
Phone: (678) 838-6600
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GEORGIA SPINE SPECIALISTS is an orthopaedic surgery in Jasper, 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. GEORGIA SPINE SPECIALISTS NPI is 1558528190. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

51 GORDON RD
SUITE 1
JASPER, GA
ZIP 30143-105
Phone: (678) 838-6600
Fax: (770) 438-1477

The provider's authorized official is Miguel A Jimenez .
The authorized official title is President and has the following contact phone number (678) 838-6600.

The enumeration date for this NPI number is 5/21/2008 and was last updated on 4/17/2009.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207XS0117XOrthopaedic SurgeryOrthopaedic Surgery of the SpineGA052966GEORGIANo
2207X00000XOrthopaedic SurgeryGA052966GEORGIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1615972752BMEDICAIDGEORGIA
2615972752AMEDICAIDGEORGIA
352062173007OTHERBCBS CV ID
4805775515AMEDICAIDGEORGIA
5611911600OTHERUS DOL ID
620NCCQPMEDICARE PINGEORGIA
752062173008OTHERBCBS AUSTELL ID
8G11962MEDICARE UPINGEORGIA
9GRP7885OTHERMEDICARE GRP NUMBER

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: 4/28/2024

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