Phoenix Ortho Injury Spine and Extremity Medical Services LLC
NPI 1396516860ActiveOrganization· Orthopaedic Surgery· Stone Mountain, GA
Orthopaedic Surgery in Stone Mountain, Georgia, registered in NPPES in January 2024. The authorized official on file is Brian Adam, Owner.
Overview
| NPI | 1396516860 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 12, 2024 |
| Last updated in NPPES | Jan 12, 2024 |
| Certified by provider | Jan 12, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Orthopaedic Surgery Primary | 207X00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Orthopaedic Surgery providers in Stone Mountain
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