Organization
SPORTS MEDICINE ASSOCIATES OF AUGUSTA, LLC
Active
Other names
Champion Orthopedics
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATRICIA A. KINNEY P.T. (ADMINISTRATOR)
(706) 210-7529
Entity
Organization
Contact information
Practice address
1706 MAGNOLIA WAY, AUGUSTA, GA 30909-9481
(706) 210-7529
(706) 312-7610
Mailing address
1706 MAGNOLIA WAY, AUGUSTA, GA 30909-9481
(706) 210-7529
(706) 312-7610
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
—
—
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XS0117X
Orthopaedic Surgery of the Spine Physician
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
225100000X
Physical Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300034841A
—
GA
05
—
30003484LA
—
GA
01
—
CJ3550
RAILROAD MEDICARE
SC
05
—
GPA745
—
SC
Enumeration date
02/08/2007
Last updated
02/07/2015
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up