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GEORGIA BONE & JOINT, LLC
NPI 1235911751
Orthopaedic Surgery - Foot and Ankle Surgery in Atlanta, GA

Active since October 18, 2023CLIA 11D2293994 · Waiver
5673 PEACHTREE DUNWOODY RD STE 825, ATLANTA, GA 30342(404) 255-5595 Get Directions Write a Review

NPPES record last updated: October 18, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Georgia Bone & Joint, Llc NPPES

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

GEORGIA BONE & JOINT, LLC (NPI 1235911751) is a healthcare organization registered as a foot and ankle surgery in Atlanta, Georgia and active in the NPI registry since October 2023. The organization holds a CLIA Waiver certificate valid through November 16, 2027 and lists Jennifer Boyd Baldock, Officer And Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1235911751
Entity TypeOrganization
Primary Taxonomy207XX0004X
Legal Business NameGEORGIA BONE & JOINT, LLC
Location Address5673 PEACHTREE DUNWOODY RD STE 825Atlanta, GA 30342-1771
Mailing Address1755 Highway 34 E Ste 2200Newnan, GA 30265-3190
Phone(404) 255-5595
Organization SubpartNo
Authorized OfficialJennifer Boyd BaldockOfficer And Authorized Official · (615) 234-5954
Enumeration DateOctober 18, 2023
NPPES CertifiedOctober 18, 2023
✔ NPI 1235911751 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Foot and Ankle SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XX0004X
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery.
5673 PEACHTREE DUNWOODY RD STE 825, Atlanta, GA 30342
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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 11D2293994

Georgia Bone & Joint, LLC · Atlanta, GA
Active · expires Nov 16, 2027
CLIA Number11D2293994
Laboratory TypePhysician Office
Certificate Effective DateNovember 17, 2025
Certificate Expiration DateNovember 16, 2027
Laboratory DirectorDavid J. Heinsch
Laboratory Phone(770) 683-6641
Laboratory LocationGeorgia Bone & Joint, LLC5673 Peachtree Dunwoody Road, Suite 825, Atlanta, GA 30342
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 7

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

CRAIG KRUPANSKY PA-C
Physician Assistant
5673 PEACHTREE DUNWOODY RD STE 825
ATLANTA, GA 30342
Fulton County (404) 255-5595
DELANEY HALES PA
Physician Assistant
5673 PEACHTREE DUNWOODY RD STE 825
ATLANTA, GA 30342
Fulton County (404) 255-5595
PERIMETER ORTHOPAEDICS, P.C.
Orthopaedic Surgery
5673 PEACHTREE DUNWOODY RD STE 825
ATLANTA, GA 30342
Fulton County (404) 255-5595
VICTORIA NOVAK PA-C
Physician Assistant
5673 PEACHTREE DUNWOODY RD STE 825
ATLANTA, GA 30342
Fulton County (404) 255-5595
DR. AASHISH BHARARA MD
Physical Medicine & Rehabilitation
5673 PEACHTREE DUNWOODY RD STE 825
ATLANTA, GA 30342
Fulton County (404) 255-5595
MR. BRIAN A DAITCH PA-C
Physician Assistant
5673 PEACHTREE DUNWOODY RD STE 825
ATLANTA, GA 30342
Fulton County (404) 255-5595
KIMIA NEZAFAT PA-C
Physician Assistant
5673 PEACHTREE DUNWOODY RD STE 825
ATLANTA, GA 30342
Fulton County (404) 255-5595

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 Georgia Bone & Joint, LLC's NPI number?

The NPI number for Georgia Bone & Joint, LLC is 1235911751. It was assigned to this organization in the NPPES registry on October 18, 2023.

Where is Georgia Bone & Joint, LLC located?

Georgia Bone & Joint, LLC is located at 5673 Peachtree Dunwoody Rd Ste 825, Atlanta, GA 30342. The listed phone number is (404) 255-5595.

What is Georgia Bone & Joint, LLC's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Foot and Ankle Surgery, with taxonomy code 207XX0004X.

Does Georgia Bone & Joint, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2293994) is associated with this NPI, valid through November 16, 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 Georgia Bone & Joint, LLC was last updated on October 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.