Active NPI 1770540247 Individual Practitioner Male Practitioner

Dr. Anthony Colpini , MD

Orthopaedic Surgery • Carrollton, GA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Anthony Colpini, MD is a certified Orthopaedic Surgery practicing in Carrollton, GA. With approximately 44 years of clinical experience since completing medical education in 1982, Dr. Colpini delivers high-quality medical care to the local community at 150 CLINIC AVE.

Dr. Colpini is affiliated with Carrollton Orthopaedic Clinic Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, methylprednisolone acetate, 1 mg, hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

150 Clinic Ave
Suite 101

Carrollton, GA 301174401

Telephone 7708340873

Associated Practice Facility / Clinic

🏢 Carrollton Ear, Nose And Throat, P.c. Facility NPI 1760410401

Medicare Profile & Education

Medical School

Other

Graduation Year

1982

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Carrollton, GA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

44 Yrs +9.2 yrs vs City Avg

City Avg: 34.8 Yrs

State Avg: 23.7 Yrs

Regional Practice Density

8 Specialists

Practicing in Carrollton, GA (797 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

78.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Colpini (44 Years) 44 Yrs

Carrollton Specialty Average (34.8 Years) 34.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1010 Injection, methylprednisolone acetate, 1 mg	31,201	177	$0.50	$0.13
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	1,200	17	$20.00	$8.89
99213 Established patient office or other outpatient visit, typically 15 minutes	422	213	$207.75	$83.46
20610 Aspiration and/or injection of fluid from large joint	312	144	$210.02	$67.46
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	120	111	$280.17	$117.52
J1040 Injection, methylprednisolone acetate, 80 mg	116	68	$20.00	$9.61
73562 X-ray of knee, 3 views	93	75	$117.35	$35.70
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	83	25	$9.00	$0.96
J1885 Injection, ketorolac tromethamine, per 15 mg	51	29	$56.12	$0.65
73501 X-ray of hip with pelvis, 1 view	46	35	$150.00	$27.50
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	40	40	$296.00	$104.22
73630 X-ray of foot, minimum of 3 views	34	27	$109.06	$30.56
73030 X-ray of shoulder, minimum of 2 views	25	23	$106.92	$31.21
72100 X-ray of lower and sacral spine, 2-3 views	19	18	$116.00	$35.68
72170 X-ray of pelvis, 1-2 views	18	17	$84.00	$25.06
20605 Aspiration and/or injection of medium joint or joint capsule	15	14	$143.00	$47.80
72148 MRI scan of lower spinal canal	14	14	$1500.00	$122.07
27447 Replacement of knee joint, both sides of knee	11	11	$5733.00	$1218.81
73610 X-ray of ankle, minimum of 3 views	11	11	$120.00	$32.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	1,568	21	$20.00	$9.34
J1040 Injection, methylprednisolone acetate, 80 mg	730	256	$20.00	$11.82
99213 Established patient office or other outpatient visit, typically 15 minutes	538	264	$183.58	$83.86
20610 Aspiration and/or injection of fluid from large joint	416	186	$207.50	$67.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	233	183	$234.83	$118.98
73562 X-ray of knee, 3 views	135	98	$111.82	$36.70
J1030 Injection, methylprednisolone acetate, 40 mg	103	70	$11.00	$7.81
J1885 Injection, ketorolac tromethamine, per 15 mg	63	38	$51.43	$0.54
73501 X-ray of hip with pelvis, 1 view	60	43	$150.00	$29.94
73030 X-ray of shoulder, minimum of 2 views	56	42	$106.07	$31.43
73630 X-ray of foot, minimum of 3 views	49	34	$109.31	$29.81
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	40	40	$215.00	$105.25
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	38	13	$9.00	$1.09
72100 X-ray of lower and sacral spine, 2-3 views	37	37	$116.00	$36.27
20605 Aspiration and/or injection of medium joint or joint capsule	27	13	$148.30	$47.94
73610 X-ray of ankle, minimum of 3 views	26	15	$110.00	$33.47
73564 X-ray of knee, 4 or more views	25	24	$200.16	$42.30
73130 X-ray of hand, minimum of 3 views	20	19	$131.25	$33.48
73110 X-ray of wrist, minimum of 3 views	19	11	$115.00	$36.95
72170 X-ray of pelvis, 1-2 views	12	12	$84.00	$25.45
27447 Replacement of knee joint, both sides of knee	12	12	$5733.00	$1222.53
73721 Mri scan of leg joint without contrast	11	11	$1500.00	$129.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	1,152	14	$20.00	$10.06
J1040 Injection, methylprednisolone acetate, 80 mg	877	297	$20.00	$10.84
20610 Aspiration and/or injection of fluid from large joint	528	197	$194.54	$63.77
99213 Established patient office or other outpatient visit, typically 15 minutes	452	238	$174.67	$84.39
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	429	264	$234.72	$119.07
J1030 Injection, methylprednisolone acetate, 40 mg	186	117	$11.00	$6.24
J1885 Injection, ketorolac tromethamine, per 15 mg	127	65	$51.59	$0.54
73562 X-ray of knee, 3 views	120	101	$115.90	$36.67
73030 X-ray of shoulder, minimum of 2 views	81	59	$99.00	$31.08
73501 X-ray of hip with pelvis, 1 view	70	53	$150.00	$29.64
73630 X-ray of foot, minimum of 3 views	63	41	$106.27	$28.26
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	61	15	$9.00	$1.14
73610 X-ray of ankle, minimum of 3 views	51	31	$97.33	$33.95
72100 X-ray of lower and sacral spine, 2-3 views	48	47	$116.00	$36.94
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	37	37	$214.70	$106.04
73130 X-ray of hand, minimum of 3 views	33	21	$105.91	$33.63
20605 Aspiration and/or injection of medium joint or joint capsule	31	19	$147.61	$49.36
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$314.00	$159.56
73110 X-ray of wrist, minimum of 3 views	25	18	$103.04	$37.71
20600 Aspiration and/or injection of fluid from small joint	25	20	$141.48	$46.32
72170 X-ray of pelvis, 1-2 views	25	25	$84.00	$24.81
73564 X-ray of knee, 4 or more views	16	16	$212.19	$42.65
72040 X-ray of upper spine, 2-3 views	16	15	$110.00	$36.55
27447 Replacement of knee joint, both sides of knee	14	13	$5814.93	$1229.11
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	13	$358.00	$129.27
72148 MRI scan of lower spinal canal	12	12	$1500.00	$117.98
20550 Injection into tendon or ligament	12	11	$139.00	$45.44
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$264.00	$87.50
27245 Treatment of broken neck of thigh bone with bone implant	11	11	$4100.00	$1180.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	2,320	28	$20.00	$10.43
J1040 Injection, methylprednisolone acetate, 80 mg	838	284	$20.00	$10.49
99213 Established patient office or other outpatient visit, typically 15 minutes	666	280	$148.80	$86.45
20610 Aspiration and/or injection of fluid from large joint	502	190	$208.47	$67.48
J1885 Injection, ketorolac tromethamine, per 15 mg	198	74	$40.36	$0.49
J1030 Injection, methylprednisolone acetate, 40 mg	174	112	$11.00	$5.58
73562 X-ray of knee, 3 views	160	109	$110.92	$35.07
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	130	120	$211.31	$124.57
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	88	25	$9.00	$1.28
73501 X-ray of hip with pelvis, 1 view	63	47	$150.00	$29.48
73030 X-ray of shoulder, minimum of 2 views	61	49	$102.25	$31.19
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	52	52	$214.58	$105.50
73610 X-ray of ankle, minimum of 3 views	34	19	$92.00	$32.11
73630 X-ray of foot, minimum of 3 views	32	21	$106.22	$31.66
72100 X-ray of lower and sacral spine, 2-3 views	32	32	$116.00	$36.86
73130 X-ray of hand, minimum of 3 views	31	22	$94.97	$33.52
72170 X-ray of pelvis, 1-2 views	30	30	$84.00	$25.79
20605 Aspiration and/or injection of medium joint or joint capsule	29	17	$143.00	$45.63
27447 Replacement of knee joint, both sides of knee	22	21	$5837.27	$1099.67
20600 Aspiration and/or injection of fluid from small joint	20	16	$144.10	$46.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	1,840	23	$20.00	$10.92
J1040 Injection, methylprednisolone acetate, 80 mg	803	302	$20.00	$11.38
99213 Established patient office or other outpatient visit, typically 15 minutes	701	325	$125.00	$71.35
20610 Aspiration and/or injection of fluid from large joint	524	204	$196.95	$63.72
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	199	40	$9.00	$1.45
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	147	135	$195.00	$104.01
J1030 Injection, methylprednisolone acetate, 40 mg	129	100	$11.00	$5.88
73562 X-ray of knee, 3 views	126	93	$110.10	$34.50
J1885 Injection, ketorolac tromethamine, per 15 mg	118	65	$55.98	$0.58
73501 X-ray of hip with pelvis, 1 view	79	60	$141.89	$27.08
73030 X-ray of shoulder, minimum of 2 views	72	56	$99.00	$30.46
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	52	52	$215.00	$103.89
73610 X-ray of ankle, minimum of 3 views	52	28	$92.00	$31.72
73630 X-ray of foot, minimum of 3 views	42	30	$105.45	$29.70
72100 X-ray of lower and sacral spine, 2-3 views	41	41	$116.00	$34.59
73130 X-ray of hand, minimum of 3 views	37	27	$104.43	$32.25
72170 X-ray of pelvis, 1-2 views	35	32	$84.00	$25.78
20600 Aspiration and/or injection of fluid from small joint	33	19	$139.88	$44.17
20550 Injection into tendon or ligament	27	19	$139.00	$51.54
20552 Injections of trigger points in 1 or 2 muscles	23	18	$136.00	$47.83
99221 Initial hospital inpatient care per day, typically 30 minutes	21	21	$264.00	$101.04
20605 Aspiration and/or injection of medium joint or joint capsule	21	17	$149.81	$43.77
73590 X-ray of lower leg, 2 views	19	13	$79.58	$27.02
27447 Replacement of knee joint, both sides of knee	18	18	$5892.28	$1320.59
20551 Injection into tendon at attachment to bone or muscle	16	13	$150.00	$51.42
72148 MRI scan of lower spinal canal	14	14	$1500.00	$119.73
73564 X-ray of knee, 4 or more views	13	11	$173.92	$40.68
72040 X-ray of upper spine, 2-3 views	13	13	$110.00	$32.68
64721 Release and/or relocation of hand nerve	12	11	$1910.00	$404.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	1,856	26	$20.00	$11.28
J1040 Injection, methylprednisolone acetate, 80 mg	990	346	$20.00	$11.88
99213 Established patient office or other outpatient visit, typically 15 minutes	731	354	$125.00	$70.31
20610 Aspiration and/or injection of fluid from large joint	623	245	$191.62	$61.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	213	196	$195.00	$102.95
73562 X-ray of knee, 3 views	191	138	$118.02	$34.09
73501 X-ray of hip with pelvis, 1 view	143	67	$136.55	$25.54
J1030 Injection, methylprednisolone acetate, 40 mg	138	105	$11.00	$6.24
73610 X-ray of ankle, minimum of 3 views	92	24	$92.00	$29.22
73030 X-ray of shoulder, minimum of 2 views	69	55	$98.07	$26.90
73630 X-ray of foot, minimum of 3 views	69	41	$103.00	$29.21
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	68	68	$215.00	$102.50
J1885 Injection, ketorolac tromethamine, per 15 mg	55	43	$69.05	$0.50
72170 X-ray of pelvis, 1-2 views	35	33	$84.00	$29.23
73130 X-ray of hand, minimum of 3 views	33	24	$97.58	$30.91
73110 X-ray of wrist, minimum of 3 views	33	17	$105.09	$28.90
20605 Aspiration and/or injection of medium joint or joint capsule	30	19	$143.00	$43.77
20552 Injections of trigger points in 1 or 2 muscles	29	20	$136.00	$46.22
72100 X-ray of lower and sacral spine, 2-3 views	29	29	$116.00	$34.24
20600 Aspiration and/or injection of fluid from small joint	28	22	$131.00	$39.04
99221 Initial hospital inpatient care per day, typically 30 minutes	22	22	$264.00	$100.66
20550 Injection into tendon or ligament	20	13	$145.95	$45.60
64721 Release and/or relocation of hand nerve	20	18	$1910.00	$412.19
27447 Replacement of knee joint, both sides of knee	17	16	$5867.94	$1364.07
20526 Injection of carpal tunnel	17	13	$212.47	$84.47
73721 Mri scan of leg joint without contrast	12	12	$1500.00	$143.63
27245 Treatment of broken neck of thigh bone with bone implant	12	12	$4168.33	$1236.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	2,800	40	$20.00	$11.72
J1040 Injection, methylprednisolone acetate, 80 mg	953	358	$17.92	$12.76
99213 Established patient office or other outpatient visit, typically 15 minutes	697	356	$124.97	$66.45
20610 Aspiration and/or injection of fluid from large joint	599	244	$186.53	$57.26
73562 X-ray of knee, 3 views	189	133	$111.17	$31.98
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	186	175	$195.00	$99.27
J1030 Injection, methylprednisolone acetate, 40 mg	150	100	$11.00	$6.64
73501 X-ray of hip with pelvis, 1 view	98	47	$124.90	$22.14
73630 X-ray of foot, minimum of 3 views	84	51	$107.90	$25.79
J1885 Injection, ketorolac tromethamine, per 15 mg	77	41	$64.99	$0.57
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	76	76	$214.86	$99.24
73030 X-ray of shoulder, minimum of 2 views	65	48	$97.48	$25.99
73610 X-ray of ankle, minimum of 3 views	56	34	$92.00	$28.21
72170 X-ray of pelvis, 1-2 views	38	34	$84.00	$27.82
20552 Injections of trigger points in 1 or 2 muscles	32	20	$136.00	$44.01
20550 Injection into tendon or ligament	32	24	$139.00	$44.35
20600 Aspiration and/or injection of fluid from small joint	31	22	$135.23	$39.24
72100 X-ray of lower and sacral spine, 2-3 views	30	29	$116.00	$31.53
20605 Aspiration and/or injection of medium joint or joint capsule	28	16	$143.00	$39.75
73130 X-ray of hand, minimum of 3 views	25	18	$103.04	$28.53
73560 X-ray of knee, 1-2 views	24	15	$89.58	$27.96
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	23	23	$358.00	$129.86
20526 Injection of carpal tunnel	23	18	$224.35	$83.42
27447 Replacement of knee joint, both sides of knee	20	20	$5790.35	$1238.28
73110 X-ray of wrist, minimum of 3 views	20	15	$102.00	$31.30
73721 Mri scan of leg joint without contrast	17	17	$1500.00	$143.84
64721 Release and/or relocation of hand nerve	16	14	$1910.00	$377.05
99202 New patient office or other outpatient visit, typically 20 minutes	15	15	$141.00	$69.18
72040 X-ray of upper spine, 2-3 views	13	13	$105.77	$29.97
27236 Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement	12	12	$3521.00	$1117.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	2,176	34	$20.00	$12.13
J1040 Injection, methylprednisolone acetate, 80 mg	800	306	$17.00	$10.54
99213 Established patient office or other outpatient visit, typically 15 minutes	643	312	$124.80	$63.81
20610 Aspiration and/or injection of fluid from large joint	502	204	$186.02	$54.46
73562 X-ray of knee, 3 views	246	150	$108.78	$32.71
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	177	162	$195.00	$94.42
J1030 Injection, methylprednisolone acetate, 40 mg	129	94	$11.00	$5.51
73630 X-ray of foot, minimum of 3 views	92	56	$100.76	$21.83
73501 X-ray of hip with pelvis, 1 view	90	34	$112.00	$19.46
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	82	82	$215.00	$96.80
73610 X-ray of ankle, minimum of 3 views	80	38	$87.69	$26.21
J1885 Injection, ketorolac tromethamine, per 15 mg	68	40	$53.74	$0.68
72170 X-ray of pelvis, 1-2 views	56	53	$83.02	$26.22
73030 X-ray of shoulder, minimum of 2 views	51	44	$99.00	$25.46
73110 X-ray of wrist, minimum of 3 views	36	19	$85.00	$24.90
72100 X-ray of lower and sacral spine, 2-3 views	33	28	$108.97	$27.84
20605 Aspiration and/or injection of medium joint or joint capsule	32	22	$143.00	$39.95
73130 X-ray of hand, minimum of 3 views	27	19	$98.81	$26.86
20600 Aspiration and/or injection of fluid from small joint	27	18	$140.70	$40.45
99202 New patient office or other outpatient visit, typically 20 minutes	26	26	$141.00	$66.58
20550 Injection into tendon or ligament	26	19	$139.00	$45.64
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	20	20	$358.00	$119.74
73560 X-ray of knee, 1-2 views	18	11	$79.78	$24.70
27447 Replacement of knee joint, both sides of knee	17	17	$5867.94	$1196.57
Q4010 Cast supplies, short arm cast, adult (11 years +), fiberglass	15	11	$68.00	$19.09
64721 Release and/or relocation of hand nerve	14	14	$1910.00	$352.61
20551 Injection into tendon at attachment to bone or muscle	14	11	$150.00	$39.36
72040 X-ray of upper spine, 2-3 views	12	12	$110.00	$28.82

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License GA 052908

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

187879720A (GA)

Hospital & Practice Group Affiliations

Carrollton Orthopaedic Clinic Pc

150 Clinic Ave, Carrollton, GA 301174498

Phone: 7708340873

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

27 Associated Practitioners

Matthew Henderson , FNP-C

Nurse Practitioner

NPI 1013568740

Family Nurse Practitioner (Certified)

Dr. Jubal Watts , MD

Orthopaedic Surgery

NPI 1033100037

Doctor of Medicine (M.D.)

Dr. Charles Hubbard , MD

Orthopaedic Surgery

NPI 1033100946

Doctor of Medicine (M.D.)

Dr. Robert O'connell , MD

Orthopaedic Surgery - Sports Medicine

NPI 1063832020

Doctor of Medicine (M.D.)

Dr. Shomari Ruffin , MD

Orthopaedic Surgery - Sports Medicine

NPI 1114185840

Doctor of Medicine (M.D.)

Hannah Brannon , PT

Physical Therapist

NPI 1134721236

Physical Therapist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events

📍

Updated Business Mailing Address October 21, 2019

Registered at 150 CLINIC AVE, STE 101, CARROLLTON, GA 301174402

✅

NPI Profile Active June 24, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location June 24, 2013

Registered at 150 CLINIC AVE, SUITE 101, CARROLLTON, GA 301174401 (Tel: 7708340873)

📍

Updated Business Mailing Address June 24, 2013

Registered at 150 CLINIC AVE, SUITE 101, CARROLLTON, GA 301174401

👤

Provider Name / Credentials Updated June 24, 2013

Recorded as ANTHONY COLPINI, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 24, 2013

Orthopaedic Surgery (License #052908 in GA)

🟢

Initial NPI Registration & Enumeration April 28, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1770540247

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: April 28, 2006

Last Update: October 21, 2019

Sole Proprietor: No

Update or Correct Profile

Mailing Address

150 Clinic Ave, Ste 101

Carrollton, GA 301174402

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.