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:
Map and Directions
Authorized official contact:
Name: Kinney, Patricia A. Physical Therapist (PT)
Phone: (706) 210-7529

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043351703 NPPES
Georgia MEDICAID 300034841A
Georgia Other CJ3550
Georgia MEDICAID 30003484LA
Georgia MEDICAID GPA745

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