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ACADEMY ORTHOPEDICS LLC NPI 1659451078


NPI Information

NPI: 1659451078
Provider Name: ACADEMY ORTHOPEDICS, LLC

Doing Business As: DBA ACADEMY ORTHOPEDICS, LLC, AMBULATORY SURGICAL CENTER

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
318 TRIBBLE GAP RD
CUMMING, GA
ZIP 30040
Phone: (770) 889-0893
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ACADEMY ORTHOPEDICS, LLC is an ambulatory surgical clinic center in Cumming, GA. ACADEMY ORTHOPEDICS, LLC NPI is 1659451078. The provider is registered as an organization entity type.
The provider Is Doing Business As Dba Academy Orthopedics, Llc, Ambulatory Surgical Center.

The provider's business location address is:

318 TRIBBLE GAP RD
CUMMING, GA
ZIP 30040-440
Phone: (770) 889-0893
Fax: (770) 889-0354

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

The enumeration date for this NPI number is 10/17/2006 and was last updated on 9/13/2013.


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
1261QA1903XClinic/CenterAmbulatory Surgical058-218GEORGIAYes

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
1058-218OTHERGEORGIADHR PERMIT
211189ASCAMEDICARE ID-TYPE UNSPECIFIEDGEORGIAASC PROVIDER 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: 5/5/2024

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