Organization
ORTHOATLANTA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL OCHAL (CEO)
(770) 953-6929
Entity
Organization
Contact information
Practice address
1265 HIGHWAY 54 W STE 200, FAYETTEVILLE, GA 30214-4543
(770) 460-1900
(770) 719-1214
Mailing address
3100 INTERSTATE NORTH CIR SE STE 500, ATLANTA, GA 30339-2296
(770) 953-6929
(770) 953-6972
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
GA
207XS0106X
Orthopaedic Hand Surgery Physician
—
—
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
—
—
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
—
GA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
GA
208100000X
Physical Medicine & Rehabilitation Physician
—
GA
363A00000X
Physician Assistant
—
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
346603701
USDOL - FAYETTEVILLE
GA
01
—
6285940006
DME (ALSO MEDIARE NSC)
GA
Enumeration date
04/02/2007
Last updated
03/24/2025
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