SOUTHERN ORTHOPEDICS SPORTS MEDICINE
NPI 1073654489
Orthopaedic Surgery in Lagrange, GA

Active since February 09, 2007
1805 VERNON RD, SUITE B, LAGRANGE, GA 30240(706) 884-2691(706) 845-7314 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Southern Orthopedics Sports Medicine NPPES

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

SOUTHERN ORTHOPEDICS SPORTS MEDICINE (NPI 1073654489) is a healthcare organization registered as an orthopaedic surgery in Lagrange, Georgia and active in the NPI registry since February 2007. The organization lists Gloria W Kelley, Executive Secretary, as its authorized official.

NPPES Registry Identity

NPI1073654489
Entity TypeOrganization
Primary Taxonomy207X00000X
Legal Business NameSOUTHERN CENTER FOR ORTHOPEDICS
Location Address1805 VERNON RD, SUITE BLagrange, GA 30240-4041
Mailing Address1805 Vernon Rd, Suite BLagrange, GA 30240-4041 · (706) 884-2691 · Fax (706) 845-7314
Fax(706) 845-7314
Organization SubpartNo
Authorized OfficialGloria W KelleyExecutive Secretary · (706) 884-2691
Enumeration DateFebruary 9, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1073654489 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in GA · 23336
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.
1805 VERNON RD, Lagrange, GA 30240

Other Names 1

Doing Business AsSouthern Orthopedics Sports Medicine

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Podiatrist (Foot & Ankle Surgery)
1805 VERNON RD
LAGRANGE, GA 30240
Physical Therapist
1805 VERNON RD, SUITE A
LAGRANGE, GA 30240
Clinic/Center (Physical Therapy)
1805 VERNON RD, SUITE A
LAGRANGE, GA 30240
Physical Medicine & Rehabilitation (Sports Medicine)
1805 VERNON RD
LAGRANGE, GA 30240
Nurse Anesthetist, Certified Registered
1805 VERNON RD, SUITE C
LAGRANGE, GA 30240
Nurse Practitioner
1805 VERNON RD, SUITE B
LAGRANGE, GA 30240
Clinic/Center (Ambulatory Surgical)
1805 VERNON RD, SUITE C, AMBULATORY SURGERY CENTER
LAGRANGE, GA 30240
Anesthesiology
1805 VERNON RD, SUITE C
LAGRANGE, GA 30240

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southern Center For Orthopedics's NPI number?

The NPI number for Southern Center For Orthopedics is 1073654489. It was assigned to this organization in the NPPES registry on February 9, 2007. The provider is doing business as Southern Orthopedics Sports Medicine.

Where is Southern Center For Orthopedics located?

Southern Center For Orthopedics is located at 1805 Vernon Rd Suite B, Lagrange, GA 30240. The listed phone number is (706) 884-2691.

What is Southern Center For Orthopedics's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

When was this NPI record last updated?

The NPPES record for Southern Center For Orthopedics was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.