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ORTHOSPORTS1ST GA
NPI 1326844689
Orthopaedic Surgery - Sports Medicine in Kennesaw, GA

Active since February 19, 2025
4300 BELLS FERRY RD NW, KENNESAW, GA 30144(470) 790-0725(470) 754-0882 Get Directions Write a Review

NPPES record last updated: March 21, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 21, 2025, Feb 19, 2025 (2 updates tracked since 2025).

About Orthosports1st Ga NPPES

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

ORTHOSPORTS1ST GA (NPI 1326844689) is a healthcare organization registered as a sports medicine in Kennesaw, Georgia and active in the NPI registry since February 2025. The organization lists Bryan Wimbish, Cco, as its authorized official.

NPPES Registry Identity

NPI1326844689
Entity TypeOrganization
Primary Taxonomy207XX0005X
Legal Business NameORTHOSPORTS1ST GA
Location Address4300 BELLS FERRY RD NWKennesaw, GA 30144-1304
Mailing AddressPo Box 830525, Department# Owc 24Birmingham, AL 35283-0525 · (470) 790-0725 · Fax (470) 754-0882
Phone(470) 790-0725
Fax(470) 754-0882
Organization SubpartNo
Authorized OfficialBryan WimbishCco · (334) 701-6386
Enumeration DateFebruary 19, 2025
Last NPPES UpdateMarch 21, 20252 updates tracked since enumeration
NPPES CertifiedMarch 21, 2025
✔ NPI 1326844689 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
Definition
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
4300 BELLS FERRY RD NW, Kennesaw, GA 30144
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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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Orthosports1st Ga is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Orthosports1st Ga, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (5)

Linus Igbokwe, MD
Family Practice
NPI 1043834732
2505 NEWPOINT PKWY STE 100
Lawrenceville, GA 30043
(678) 257-7078
✔ PECOS✔ Accepts Medicare28 mi
Mohammed Qureshi, D.O.
Family Practice
NPI 1770997942
211 FAIRVIEW RD
Ellenwood, GA 30294
(678) 289-6747
✔ PECOS✔ Accepts Medicare35 mi
Bryan Wimbish, CRNP
Nurse Practitioner
NPI 1891203873
1031 BROCKS GAP PKWY STE 185
Hoover, AL 35244
(205) 352-2911
✔ PECOS✔ Accepts Medicare141 mi
Wilhemina Boadi-Ihenyen, APN
Nurse Practitioner
NPI 1215212212
5801 CROSSINGS BLVD
Antioch, TN 37013
(615) 941-8501
✔ PECOS181 mi
Andrew Alexander, MD
Physical Medicine and Rehabilitation
NPI 1548825524
200 1ST ST SW
Rochester, MN 55905
(507) 284-2511
✔ PECOS✔ Accepts Medicare808 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Orthosports1st Ga's NPI number?

The NPI number for Orthosports1st Ga is 1326844689. It was assigned to this organization in the NPPES registry on February 19, 2025.

Where is Orthosports1st Ga located?

Orthosports1st Ga is located at 4300 Bells Ferry Rd NW, Kennesaw, GA 30144. The listed phone number is (470) 790-0725.

What is Orthosports1st Ga's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is Orthosports1st Ga enrolled in Medicare?

Yes. Orthosports1st Ga is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Orthosports1st Ga?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians reassign their Medicare billing to Orthosports1st Ga, in Family Practice, Nurse Practitioner and Physical Medicine and Rehabilitation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Orthosports1st Ga was last updated on March 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.