Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Georgia Sports Orthopedic Specialists, LLC

Organization Sports Medicine (Orthopaedic Surgery) Physician · NPI 1407024623

Georgia Sports Orthopedic Specialists, LLC provides Sports Medicine (Orthopaedic Surgery) Physician services in Gainesville, Georgia. Registered with an NPI since 2008.

In the registry since
2008
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1466 Jesse Jewell Pkwy SE
Gainesville, GA 30501-3852 Not confirmed with CMS for 18 years — call before visiting
Phone: (770) 532-0503
Fax: (770) 534-6942
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Orthopaedic Surgery) Physician (primary) Taxonomy 207XX0005X

Record details

NPI number1407024623
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brent Noon — Chief Operating Officer · (770) 532-0503
NPI enumeratedFebruary 11, 2008
Last updated in NPPESFebruary 11, 2008
Mailing address1466 Jesse Jewell Pkwy Se, Gainesville, GA 30501-3852

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