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Export Provider Record NPI 1073654489
Southern Center For Orthopedics
Organization Subpart: NO
Active
NPI Number1073654489
NPI TypeNPI-2 Organization
SpecialtyOrthopaedic Surgery
Provider Details
NPI1073654489
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2007-02-09
Last Updated2020-08-22
Authorized OfficialGloria Kelley
Executive Secretary
Phone: 7068842691
Mailing Address1805 Vernon Rd, Suite B
Lagrange, GA 30240-4041
United States
Phone: (706) 884-2691 | Fax: (706) 845-7314
📍 View Map
Primary Practice Address1805 Vernon Rd, Suite B
Lagrange, GA 30240-4041
United States
Phone: (706) 884-2691 | Fax: (706) 845-7314
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes207X00000X – Orthopaedic SurgeryGA23336
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About NPI 1073654489

Southern Center For Orthopedics is an organization registered in the CMS NPPES NPI Registry with NPI number 1073654489. The primary specialty listed is Orthopaedic Surgery. The organization is located in Lagrange, GA. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2007-02-09. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1073654489?

NPI 1073654489 belongs to Southern Center For Orthopedics, a Orthopaedic Surgery in Lagrange, GA. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1073654489 active?

The current status of NPI 1073654489 in the NPPES registry is Active. The record was last updated on 2020-08-22.

What specialty is NPI 1073654489?

NPI 1073654489 is classified under the taxonomy Orthopaedic Surgery. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1073654489?

You can verify NPI 1073654489 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1073654489?

The primary practice address on file for NPI 1073654489 is 1805 Vernon Rd, Lagrange, GA 30240-4041. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1073654489 issued?

NPI 1073654489 was first issued (enumerated) on 2007-02-09. The NPPES record was last updated on 2020-08-22.

Practice Location Map

Southern Center For Orthopedics is located at 1805 Vernon Rd, Lagrange, GA. Use the map below to find directions or verify the practice location.

📍 1805 Vernon Rd, Lagrange, GA 30240-4041  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Southern Center For Orthopedics. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1073654489. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Orthopaedic Surgery23336GA
Data Verified from CMS NPPES Last synced: 2026-06-20 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162