LIMESTONE COLLEGE SPORTS MEDICINE
NPI 1033585310
Orthopaedic Surgery in Gaffney, SC

Q: What is the provider's specialty?

The provider's specialty is Orthopaedic Surgery with taxonomy code 207X00000X.

Active since August 20, 2015CLIA 42D2199469 · Waiver

1115 COLLEGE DR, GAFFNEY, SC 29340(864) 488-8361(972) 367-3451 Get Directions Write a Review

NPPES record last updated: August 20, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Limestone College Sports Medicine NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIMESTONE COLLEGE SPORTS MEDICINE (NPI 1033585310) is a healthcare organization registered as an orthopaedic surgery in Gaffney, South Carolina and active in the NPI registry since August 2015. The organization holds a CLIA Waiver certificate valid through November 8, 2026 and lists Mouzon Bass, Agent, as its authorized official.

NPPES Registry Identity

NPI1033585310

Entity TypeOrganization

Primary Taxonomy207X00000X

Legal Business NameLIMESTONE COLLEGE

Location Address1115 COLLEGE DRGaffney, SC 29340-3778

Mailing AddressPo Box 650850Dallas, TX 75265-0850 · (800) 555-9073 · Fax (972) 367-3452

Phone(864) 488-8361

Fax(972) 367-3451

Organization SubpartNo

Authorized OfficialMouzon BassAgent · (972) 367-4845

Enumeration DateAugust 20, 2015

✔ NPI 1033585310 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Also ListedOrthopaedic Surgery · Sports MedicineTaxonomy 207XX0005X

1115 COLLEGE DR, Gaffney, SC 29340

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Other Names 1

Doing Business AsLimestone College Sports Medicine

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number: 42D2199469
Facility Type: Other - MED TEST IN SPORTS STADIU
Certificate Effective Date: November 09, 2024
Certificate Expiration Date: November 08, 2026
Laboratory Director: MICHAEL P. HOENIG
Certificate Type: Certificate of Waiver
Certificate Type Description: This CLIA certificate is issued to Limestone College Sports Medicine to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.