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VILLA RICA ORTHOPAEDICS
NPI 1154728871
Orthopaedic Surgery in Villa Rica, GA

Active since November 24, 2014CLIA 11D2096066 · Waiver
705 DALLAS HWY, SUITE 301, VILLA RICA, GA 30180(678) 601-5220 Get Directions Write a Review

NPPES record last updated: November 24, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Villa Rica Orthopaedics NPPES

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

VILLA RICA ORTHOPAEDICS (NPI 1154728871) is a healthcare organization registered as an orthopaedic surgery in Villa Rica, Georgia and active in the NPI registry since November 2014. The organization holds a CLIA Waiver certificate valid through May 13, 2027 and lists Ralph Fleck, Md, as its authorized official.

NPPES Registry Identity

NPI1154728871
Entity TypeOrganization
Primary Taxonomy207X00000X
Legal Business NameCARROLLTON ORTHOPAEDIC CLINIC, PC
Location Address705 DALLAS HWY, SUITE 301Villa Rica, GA 30180-1247
Mailing Address150 Clinic Ave, Suite 101Carrollton, GA 30117-4401 · (678) 601-5220
Phone(678) 601-5220
Organization SubpartYes
Authorized OfficialRalph FleckMd · (678) 601-5220
Enumeration DateNovember 24, 2014
✔ NPI 1154728871 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
705 DALLAS HWY, Villa Rica, GA 30180
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Other Names 1

Doing Business AsVilla Rica Orthopaedics

Other Identifiers 1

Medicare UPIN1356483747GA

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

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 11D2096066

Villa Rica Orthopaedics · Villa Rica, GA
Active · expires May 13, 2027
CLIA Number11D2096066
Laboratory TypePhysician Office
Certificate Effective DateMay 14, 2025
Certificate Expiration DateMay 13, 2027
Laboratory DirectorJohn Butler
Laboratory Phone(000) 770-8340
Laboratory LocationVilla Rica Orthopaedics705 Dallas Hwy, Suite 301, Villa Rica, GA 30180
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 15

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

MUJEEB A JAN MD
Internal Medicine (Cardiovascular Disease)
705 DALLAS HWY, STE 104
VILLA RICA, GA 30180
Carroll County (404) 778-5543
INDUPRIYA PALASANI M.D.
Internal Medicine (Rheumatology)
705 DALLAS HWY, SUITE 301
VILLA RICA, GA 30180
Carroll County (770) 459-0408
YUSHONDA D. LOFTON CRNA
Nurse Anesthetist, Certified Registered
705 DALLAS HWY
VILLA RICA, GA 30180
Carroll County (770) 456-3701
TMC WEST GEORGIA FAMILY MEDICINE INC
Family Medicine
705 DALLAS HWY, SUITE 101
VILLA RICA, GA 30180
Carroll County (770) 459-4411
DR. LAWRENCE W PRICE MD
Family Medicine
705 DALLAS HWY, STE 101
VILLA RICA, GA 30180
Carroll County (770) 456-3477
DR. ERIC C ANDRIST M.D.
Otolaryngology
705 DALLAS HWY, SUITE 301
VILLA RICA, GA 30180
Carroll County (770) 459-0408
DR. JOHN H BURSON III M.D.
Otolaryngology
705 DALLAS HWY, SUITE 301
VILLA RICA, GA 30180
Carroll County (770) 459-0408
DR. EVANGELIO GONZALEZ MD
Family Medicine
705 DALLAS HWY, STE 101
VILLA RICA, GA 30180
Carroll County (770) 456-4411

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 Carrollton Orthopaedic Clinic, PC's NPI number?

The NPI number for Carrollton Orthopaedic Clinic, PC is 1154728871. It was assigned to this organization in the NPPES registry on November 24, 2014. The provider is doing business as Villa Rica Orthopaedics.

Where is Carrollton Orthopaedic Clinic, PC located?

Carrollton Orthopaedic Clinic, PC is located at 705 Dallas Hwy Suite 301, Villa Rica, GA 30180. The listed phone number is (678) 601-5220.

What is Carrollton Orthopaedic Clinic, PC's specialty?

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

Does Carrollton Orthopaedic Clinic, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2096066) is associated with this NPI, valid through May 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Carrollton Orthopaedic Clinic, PC was last updated on November 24, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.