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HOUSTON ORTHOPEDIC SURGERY & SPORTS MEDICINE, P.C.
NPI 1134563042
Durable Medical Equipment & Medical Supplies in Perry, GA

Active since April 22, 2013CLIA 11D2047059 · Waiver

NPPES record last updated: February 20, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Houston Orthopedic Surgery & Sports Medicine, P.c. NPPES

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

HOUSTON ORTHOPEDIC SURGERY & SPORTS MEDICINE, P.C. (NPI 1134563042), doing business as Middle Georgia Orthopedics, is a healthcare organization registered as a durable medical equipment & medical supplies in Perry, Georgia and active in the NPI registry since April 2013. The organization holds a CLIA Waiver certificate valid through September 17, 2026 and lists Keathern Scott Malone, Md, as its authorized official.

NPPES Registry Identity

NPI1134563042
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameHOUSTON ORTHOPEDIC SURGERY & SPORTS MEDICINE, P.C.
Location Address1013 MAIN STPerry, GA 31069-3353
Mailing Address3051 Watson Blvd Ste 525Warner Robins, GA 31093-8556 · (478) 953-4563
Phone(478) 953-4563
Organization SubpartNo
Authorized OfficialKeathern Scott MaloneMd · (478) 953-4563
Enumeration DateApril 22, 2013
Last NPPES UpdateFebruary 20, 2025
NPPES CertifiedFebruary 20, 2025
✔ NPI 1134563042 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
Also ListedDurable Medical Equipment & Medical Supplies · Customized EquipmentTaxonomy 332BC3200X
1013 MAIN ST, Perry, GA 31069
Open in Google Maps ↗

Other Names 1

Doing Business AsMiddle Georgia Orthopedics

Other Identifiers 1

Medicaid300033915AGA

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D2047059

Houston Orthopaedic Surgery And Sports Medicine · Warner Robins, GA
Active · expires Sep 17, 2026
CLIA Number11D2047059
Laboratory TypePhysician Office
Certificate Effective DateSeptember 18, 2024
Certificate Expiration DateSeptember 17, 2026
Laboratory DirectorDr. Daxes M. Banit
Laboratory Phone(478) 953-4563
Laboratory LocationHouston Orthopaedic Surgery And Sports Medicine3051 Watson Blvd, Suite 400, Warner Robins, GA 31093
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 9

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

MS. HEATHER ANN KELLEN PT
Physical Therapist
1013 MAIN ST
PERRY, GA 31069
Houston County (478) 953-4563
MACON ORTHOPAEDIC & HAND CENTER, PA
Orthopaedic Surgery
1013 MAIN ST
PERRY, GA 31069
Houston County (478) 953-4563
SAPP'S PHYSICAL THERAPY SERVICES, INC.
Clinic/Center (Physical Therapy)
1013 MAIN ST
PERRY, GA 31069
Houston County (478) 988-8852
MELISSA RAE GORE PTA
Physical Medicine & Rehabilitation
1013 MAIN ST
PERRY, GA 31069
Houston County (478) 988-8852
MRS. LAURA PALMA HORNE DPT
Physical Therapist
1013 MAIN ST
PERRY, GA 31069
Houston County (478) 953-4563
SAMANTHA LEA KING PT
Physical Therapist
1013 MAIN ST
PERRY, GA 31069
Houston County (478) 783-4460
EMORY PHYSICAL THERAPY, LLC
Clinic/Center (Physical Therapy)
1013 MAIN ST
PERRY, GA 31069
Houston County (740) 988-8852
JENNA PRESTON
Occupational Therapist
1013 MAIN ST
PERRY, GA 31069
Houston County (478) 224-1440

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 Houston Orthopedic Surgery & Sports Medicine, P.C.'s NPI number?

The NPI number for Houston Orthopedic Surgery & Sports Medicine, P.C. is 1134563042. It was assigned to this organization in the NPPES registry on April 22, 2013. The provider is doing business as Middle Georgia Orthopedics.

Where is Houston Orthopedic Surgery & Sports Medicine, P.C. located?

Houston Orthopedic Surgery & Sports Medicine, P.C. is located at 1013 Main St, Perry, GA 31069. The listed phone number is (478) 953-4563.

What is Houston Orthopedic Surgery & Sports Medicine, P.C.'s specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Does Houston Orthopedic Surgery & Sports Medicine, P.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2047059) is associated with this NPI, valid through September 17, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Houston Orthopedic Surgery & Sports Medicine, P.C. was last updated on February 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.