Organization
BOARD OF REGENTS OF THE UNIVERSITY SYSTEM OF GEORGIA AND ON BEHALF....
Active
Organization
BOARD OF REGENTS OF THE UNIVERSITY SYSTEM OF GEORGIA AND ON BEHALF....
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY RACKLIFFE (SENIOR VP FOR FINANCE AND ADMIN.)
(404) 413-3000
Entity
Organization
Contact information
Practice address
755 HANK AARON DR SW, ATLANTA, GA 30315-1120
(404) 413-4040
(404) 413-4041
Mailing address
755 HANK AARON DR SW, ATLANTA, GA 30315-1120
(404) 413-4040
(404) 413-4041
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
07/17/2019
Last updated
07/17/2019
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