SPORTS ORTHO URGENT CARE - NPI 1508523515 - Orthopaedic Surgery in Antioch, TN

Q: What is Privia Medical Group Tennessee LLC's NPI number?

The NPI number for Privia Medical Group Tennessee LLC is 1508523515. It was assigned to this organization in the NPPES registry on November 24, 2021. The provider is doing business as Sports Ortho Urgent Care.

Q: What is Privia Medical Group Tennessee LLC's specialty?

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

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About Sports Ortho Urgent Care NPPES

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

SPORTS ORTHO URGENT CARE (NPI 1508523515) is a healthcare organization registered as a sports medicine in Antioch, Tennessee and active in the NPI registry since November 2021. The organization lists Mary Roller, Associate Director/enrollment, as its authorized official.

NPPES Registry Identity

NPI1508523515

Entity TypeOrganization

Primary Taxonomy207XX0005X

Legal Business NamePRIVIA MEDICAL GROUP TENNESSEE LLC

Location Address5380 HICKORY HOLLOW PKWY STE 201Antioch, TN 37013-3389

Mailing Address950 N Glebe Rd Ste 700Arlington, VA 22203-4173 · (571) 982-6636

Phone(571) 982-8850

Organization SubpartNo

Authorized OfficialMary RollerAssociate Director/enrollment · (770) 312-5226

Enumeration DateNovember 24, 2021

Last NPPES UpdateJuly 13, 20223 updates tracked since enumeration

NPPES CertifiedJuly 13, 2022

✔ NPI 1508523515 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.

5380 HICKORY HOLLOW PKWY STE 201, Antioch, TN 37013

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Other Names 1

Doing Business AsSports Ortho Urgent Care

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 5

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

KEVIN EUGENE GROH PA-C

Physician Assistant