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PERFORMANCE PEDIATRICS AND SPORTS MEDICINE, LLC
NPI 1295081321
Pediatrics - Sports Medicine in Bogart, GA

Active since July 26, 2012
1181 LANGFORD DR, BLDG 200-101, BOGART, GA 30622(706) 207-6694 Get Directions Write a Review

NPPES record last updated: July 26, 2012. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Performance Pediatrics And Sports Medicine, Llc NPPES

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

PERFORMANCE PEDIATRICS AND SPORTS MEDICINE, LLC (NPI 1295081321) is a healthcare organization registered as a sports medicine in Bogart, Georgia and active in the NPI registry since July 2012. The organization lists Tara Ann Merritt, Owner Physician, as its authorized official.

NPPES Registry Identity

NPI1295081321
Entity TypeOrganization
Primary Taxonomy2080S0010X
Legal Business NamePERFORMANCE PEDIATRICS AND SPORTS MEDICINE, LLC
Location Address1181 LANGFORD DR, BLDG 200-101Bogart, GA 30622-2542
Mailing Address1181 Langford Dr, Bldg 200-101Bogart, GA 30622-2542
Phone(706) 207-6694
Organization SubpartNo
Authorized OfficialTara Ann MerrittOwner Physician · (706) 202-3236
Enumeration DateJuly 26, 2012
✔ NPI 1295081321 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatrics · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080S0010X
License✔ Licensed in GA · 58543
Definition
A pediatrician who is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
Also ListedInternal MedicineTaxonomy 207R00000X · License 58543 (GA)
Also ListedPediatricsTaxonomy 208000000X · License 58543 (GA)
1181 LANGFORD DR, Bogart, GA 30622
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Other Identifiers 3

Other58543GA · State Medical License
Medicaid489449582CGA
Medicaid003125239AGA

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

Other Providers at the Same Location NPPES 4

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

DR. VANDANA N SETIA MD
Family Medicine
1181 LANGFORD DR, BLDG 100 STE 101
BOGART, GA 30622
Oconee County (706) 546-9838
ATHENS REGIONAL PHYSICIAN SERVICES
Family Medicine
1181 LANGFORD DR, BLDG 100 STE 101
BOGART, GA 30622
Oconee County (706) 546-9838
DR. JOHN A DOBBERSTEIN DMD
Dentist (General Practice)
1181 LANGFORD DR, BLDG 200, SUITE 103
BOGART, GA 30622
Oconee County (706) 395-0079
DR. KEVIN A ONEAL MD
Family Medicine
1181 LANGFORD DR, BLDG 100 STE 101
BOGART, GA 30622
Oconee County (706) 546-9838

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 Performance Pediatrics And Sports Medicine, LLC's NPI number?

The NPI number for Performance Pediatrics And Sports Medicine, LLC is 1295081321. It was assigned to this organization in the NPPES registry on July 26, 2012.

Where is Performance Pediatrics And Sports Medicine, LLC located?

Performance Pediatrics And Sports Medicine, LLC is located at 1181 Langford Dr Bldg 200-101, Bogart, GA 30622. The listed phone number is (706) 207-6694.

What is Performance Pediatrics And Sports Medicine, LLC's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Sports Medicine, with taxonomy code 2080S0010X.

When was this NPI record last updated?

The NPPES record for Performance Pediatrics And Sports Medicine, LLC was last updated on July 26, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.