Performance Pediatrics and Sports Medicine, LLC

Organization Active
NPI 1295081321
Pediatric Sports Medicine Physician Bogart, GA

Performance Pediatrics and Sports Medicine, LLC is a pediatric sports medicine physician located in Bogart, GA. The NPI was issued on July 26, 2012, and the record was last updated in NPPES on July 26, 2012. The record lists 3 taxonomy codes.

This record hasn't been updated in NPPES since 2012. Details may be out of date.

Taxonomies and licenses

TaxonomyCodeLicense
Pediatric Sports Medicine Physician Primary 2080S0010X 58543 (GA)
Internal Medicine Physician 207R00000X 58543 (GA)
Pediatrics Physician 208000000X 58543 (GA)

Practice location

1181 Langford Dr
Bldg 200-101
Bogart, GA 30622-2542
Phone: (706) 207-6694

Local context

Active NPPES records list 2 providers with pediatric sports medicine physician as the primary taxonomy within 25 miles of this practice location's ZIP code.

The same primary taxonomy is listed by 18 in Georgia and 288 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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