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Contact Information

ORTHOATLANTA, LLC
3929 PEACHTREE RD NE STE 250
BROOKHAVEN, GA30319-3374
 Phone: 404-352-1053
 Fax: 404-350-0840
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Hand Surgery

207XS0106X 02 Physician/General Surgery
 

Multi-Specialty

261QM1300X 70 Clinic or Group Practice
 

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
 

Pain Medicine

2081P2900X 25 Physician/Physical Medicine and Rehabilitation
 

Physical Medicine & Rehabilitation

208100000X 25 Physician/Physical Medicine and Rehabilitation
 

Sports Medicine

207XX0005X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for ORTHOATLANTA, LLC

NPI # 1265047005
LBN Legal business name ORTHOATLANTA, LLC
Authorized official TEYANNA CONYERS - (DIRECTOR OF CREDENTIALING)
Entity Organization
Organization subpart 1 No
Enumeration date 09/09/2020
Last updated 03/24/2025 - More than a year ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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