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

Midwestern Advanced Orthopaedics and Sports Medicine Inc

Organization Surgical Physician Assistant · NPI 1740560978

Midwestern Advanced Orthopaedics and Sports Medicine Inc provides Surgical Physician Assistant services in Decatur, Georgia. Licensed in Georgia. Registered with an NPI since 2011.

Licensed in
GA
In the registry since
2011
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2801 N Decatur Rd Ste 200
Decatur, GA 30033-5949 Not confirmed with CMS for 15 years — call before visiting
Phone: (404) 296-5005
Fax: (404) 296-2070
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 6115 (GA)

Record details

NPI number1740560978
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Douglas Johnson — Owner · (404) 296-5005
NPI enumeratedAugust 19, 2011
Last updated in NPPESAugust 19, 2011
Mailing address433 Highland Ave Ne, Apt 1407, Atlanta, GA 30312-1391

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