Performance Pediatrics And Sports Medicine, Llc
Pediatric Sports Medicine
Performance Pediatrics And Sports Medicine, Llc is a Bogart, Georgia based Pediatric center with medical specialization in
Pediatric Sports Medicine.
It is located at
1181 Langford Dr, Bldg 200-101, Bogart, Georgia - 30622-2542. They can be contacted on phone at
706-207-6694.
NPI number (Unique professional ID) for Performance Pediatrics And Sports Medicine, Llc is
1295081321 which was assigned by NPPES on 26 Jul, 2012 and it was last updated on 26 Jul, 2012.
Performance Pediatrics And Sports Medicine, Llc license number is
58543 for Pediatrics Sports Medicine (2080S0010X) in Georgia.
Performance Pediatrics And Sports Medicine, Llc is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
Complete Profile:
Performance Pediatrics And Sports Medicine, Llc basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Sports Medicine |
|---|
| Provider Name : | Performance Pediatrics And Sports Medicine, Llc |
|---|
Business Address:
Performance Pediatrics And Sports Medicine, Llc address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1181 Langford Dr, Bldg 200-101
Bogart, GA, 30622-2542
United States |
|---|
| Phone Number : | 706-207-6694 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1295081321 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 26 Jul, 2012 |
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| Last Updated On : | 26 Jul, 2012 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Taraann Merritt |
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| Authorized Official Credential : | M.D. |
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| Official Title or Position : | OWNER PHYSICIAN |
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| Phone Number : | 706-202-3236 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Performance Pediatrics And Sports Medicine, Llc are as mentioned. Primary taxonomy code for Performance Pediatrics And Sports Medicine, Llc is
2080S0010X (Pediatrics Sports Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 207R00000X | Internal Medicine | No | 58543 | GA |
| 208000000X | Pediatrics | No | 58543 | GA |
| 2080S0010X | Pediatrics Sports Medicine | Yes | 58543 | GA |
Legacy Identifiers:
Other legacy medical identifiers of Performance Pediatrics And Sports Medicine, Llc such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 58543 | Other | GA | STATE MEDICAL LICENSE |
| 489449582C | MEDICAID | GA | |
| 003125239A | MEDICAID | GA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1181 Langford Dr, Bldg 200-101
Bogart, GA, 30622-2542
United States |
|---|
Business Location:
Patients can refer following map for directions to
Performance Pediatrics And Sports Medicine, Llc practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.