Champion Orthopedics
LBN: Sports Medicine Associates Of Augusta, Llc
Champion Orthopedics is an health care organization with primary practice located at 1706 Magnolia Way , Augusta GA 30909-9481. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is the primary health care specialty.
Sports Medicine Associates Of Augusta, Llc can be contacted via phone (706) 210-7529, or through Kinney, Patricia A. via phone (706) 210-7529.
Contact Information
Primary practice address
1706 Magnolia Way
Augusta GA 30909-9481
Phone: (706) 210-7529
Fax: (706) 312-7610
Website:
Authorized official contact:
Name: Kinney, Patricia A. Physical Therapist (PT)
Phone: (706) 210-7529
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 207QS0010X | ||
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | ||
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine | 207XS0117X | ||
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | ||
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X |
Profile Details
| NPI number | 1043351703 |
|---|---|
| LBN Legal business name | Sports Medicine Associates Of Augusta, Llc |
| DBA Doing business as | Champion Orthopedics |
| Authorized official | Kinney, Patricia A. Physical Therapist (PT) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 8th, 2007 |
| Last updated | Feb 7th, 2015 - about 9 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043351703 | NPPES |
| Georgia | MEDICAID | 300034841A | |
| Georgia | Other | CJ3550 | |
| Georgia | MEDICAID | 30003484LA | |
| Georgia | MEDICAID | GPA745 |
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