1. Home
  2. Directory
  3. Georgia
  4. Atlanta
  5. Physical Medicine Rehabilitation
  6. NPI Profile

DG SPORTS MEDICINE & WELLNESS, LLC
NPI 1902487903
Physical Medicine & Rehabilitation - Sports Medicine in Atlanta, GA

Active since April 20, 2021
2625 PIEDMONT RD NE STE 56-435, ATLANTA, GA 30324(678) 749-7020 Get Directions Write a Review

NPPES record last updated: April 20, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dg Sports Medicine & Wellness, Llc NPPES

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

DG SPORTS MEDICINE & WELLNESS, LLC (NPI 1902487903) is a healthcare organization registered as a sports medicine in Atlanta, Georgia and active in the NPI registry since April 2021. The organization lists Diara Gross, Owner, as its authorized official.

NPPES Registry Identity

NPI1902487903
Entity TypeOrganization
Primary Taxonomy2081S0010X
Legal Business NameDG SPORTS MEDICINE & WELLNESS, LLC
Location Address2625 PIEDMONT RD NE STE 56-435Atlanta, GA 30324-3086
Mailing Address2625 Piedmont Rd Ne Ste 56-435Atlanta, GA 30324-3086
Phone(678) 749-7020
Organization SubpartNo
Authorized OfficialDiara GrossOwner · (678) 595-7483
Enumeration DateApril 20, 2021
NPPES CertifiedApril 20, 2021
✔ NPI 1902487903 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081S0010X
Definition
A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise.
2625 PIEDMONT RD NE STE 56-435, Atlanta, GA 30324
Open in Google Maps ↗

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dg Sports Medicine & Wellness, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by October 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateGeorgiaEnrollment IDO20211018000873Non-DME Part B · Clinic/Group PracticeDue dateOctober 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Dg Sports Medicine & Wellness, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Diara Gross, D.O.
Physical Medicine and Rehabilitation
NPI 1366750168
2625 PIEDMONT RD NE STE 56-435
Atlanta, GA 30324
(678) 749-7020
✔ PECOS✔ Accepts MedicareSame address

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 Dg Sports Medicine & Wellness, LLC's NPI number?

The NPI number for Dg Sports Medicine & Wellness, LLC is 1902487903. It was assigned to this organization in the NPPES registry on April 20, 2021.

Where is Dg Sports Medicine & Wellness, LLC located?

Dg Sports Medicine & Wellness, LLC is located at 2625 Piedmont Rd NE Ste 56-435, Atlanta, GA 30324. The listed phone number is (678) 749-7020.

What is Dg Sports Medicine & Wellness, LLC's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Sports Medicine, with taxonomy code 2081S0010X.

Is Dg Sports Medicine & Wellness, LLC enrolled in Medicare?

Yes. Dg Sports Medicine & Wellness, LLC is registered in the Medicare PECOS enrollment system.

When is Dg Sports Medicine & Wellness, LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Georgia, Clinic/Group Practice) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Dg Sports Medicine & Wellness, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Physical Medicine and Rehabilitation) reassigns their Medicare billing to Dg Sports Medicine & Wellness, LLC. 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 Dg Sports Medicine & Wellness, LLC was last updated on April 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.