Dr. Gary S. Simon , MD
Orthopaedic Surgery โข Austell, GA
2041 Mesa Valley Way, Suite 100
Austell, GA 301068157
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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Dr. Gary Simon is listed in NPPES under Orthopaedic Surgery.
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NPI assigned on October 6, 2005; this date does not establish years in practice.
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Published CMS data list 40,176 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- J1010 โ Injection, methylprednisolone acetate, 1 mg: 34,181 service units.
- J7332 โ Hyaluronan or derivative, triluron, for intra-articular injection, 1 mg: 3,661 service units.
- 20610 โ Aspiration and/or injection of fluid from large joint: 653 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 18 records in the table ยท Guide: How to read Medicare Part B data
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Published CMS data list 520 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Cephalexin โ 95 prescription fills, including refills.
- Diclofenac Sodium Er (Diclofenac Sodium) โ 86 prescription fills, including refills.
- Cyclobenzaprine Hcl โ 74 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 11 records in the table ยท Guide: How to read Medicare Part D prescriber data
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More Medicare Part B services than 95% of clinicians listed under Orthopaedic Surgery in Austell, GA (2024, 13 clinicians with data). Median for this group: 6,863. Middle half: 2,756 to 21,588.
More Medicare Part B services than 95% of clinicians listed under Orthopaedic Surgery in Georgia (2024, 466 clinicians with data). Median for this group: 2,112. Middle half: 682 to 5,937.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 52,905 in 2020 to 40,176 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2020โ2024.
Practice Location & Contact Primary Location
2041 Mesa Valley Way
Suite 100
Austell, GA 301068157
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
CMS Doctors and Clinicians lists 2 distinct group names: Physiotherapy Associates Inc; Resurgens, Llc. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
State University Of New York Downstate Medical Center
1988
What Public CMS Data Show
Orthopaedic Surgery: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
555 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider, 2024.
Medicare-allowed amount
About $260,938 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
Paid by Medicare
About $192,876 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
30-day fills
544 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$5,148 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024.
Industry payments (Open Payments)
Fewer than 11 payment records totaling $171.80 in 2023
Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.
It shows reported financial ties between this clinician and companies. You can ask your clinician about them.
These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.
General: payments not tied to research, such as meals, travel, consulting or speaking fees.
A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.
Source: CMS Open Payments, program year 2023.
Years since graduation
38 years (graduated 1988)
CMS Doctors and Clinicians data list 1988 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2005
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, โDoes your provider accept Medicare as full payment?โ
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Dr. Simon has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Dr. Simon as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Austell and Georgia
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 95% of clinicians listed under Orthopaedic Surgery in Austell, GA (2024, 13 clinicians with data). Median for this group: 6,863. Middle half: 2,756 to 21,588.
More Medicare Part B services than 95% of clinicians listed under Orthopaedic Surgery in Georgia (2024, 466 clinicians with data). Median for this group: 2,112. Middle half: 682 to 5,937.
Medicare-allowed amount
A higher Medicare-allowed amount than 90% of clinicians listed under Orthopaedic Surgery in Austell, GA (2024, 13 clinicians with data). Median for this group: $77,273. Middle half: $53,761 to $179,972.
A higher Medicare-allowed amount than 85% of clinicians listed under Orthopaedic Surgery in Georgia (2024, 466 clinicians with data). Median for this group: $96,431. Middle half: $41,948 to $181,444.
Paid by Medicare
A higher Medicare payment amount than 90% of clinicians listed under Orthopaedic Surgery in Austell, GA (2024, 13 clinicians with data). Median for this group: $55,023. Middle half: $38,836 to $135,176.
A higher Medicare payment amount than 85% of clinicians listed under Orthopaedic Surgery in Georgia (2024, 466 clinicians with data). Median for this group: $71,995. Middle half: $31,204 to $136,115.
Medicare Part D prescriptions
Fewer Part D prescriptions than 60% of clinicians listed under Orthopaedic Surgery in Austell, GA (2024, 12 clinicians with data). Median for this group: 622. Middle half: 468 to 806.
Close to the middle for clinicians listed under Orthopaedic Surgery in Georgia (2024, 487 clinicians with data). Median for this group: 491. Middle half: 182 to 889.
Part D drug cost
A lower Part D drug cost than 60% of clinicians listed under Orthopaedic Surgery in Austell, GA (2024, 12 clinicians with data). Median for this group: $5,242. Middle half: $3,241 to $7,773.
A higher Part D drug cost than 60% of clinicians listed under Orthopaedic Surgery in Georgia (2024, 487 clinicians with data). Median for this group: $3,700. Middle half: $1,125 to $8,077.
17 active clinicians are listed under Orthopaedic Surgery with a practice address in Austell, GA (753 in Georgia).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Austell
0% of these 17 clinicians have the CMS telehealth indicator.
76.5% of these 17 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services decreased 24% from 52,905 in 2020 to 40,176 in 2024.
- 2020: 52,905
- 2021: 44,516
- 2022: 35,584
- 2023: 5,391
- 2024: 40,176
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Medicare-allowed amount
Medicare-allowed amount stayed about the same: $277,510 in 2020 and $260,938 in 2024.
- 2020: $277,510
- 2021: $282,209
- 2022: $276,720
- 2023: $208,913
- 2024: $260,938
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Paid by Medicare
Paid by Medicare varied from year to year: $206,011 in 2020 and $192,876 in 2024.
- 2020: $206,011
- 2021: $211,670
- 2022: $205,459
- 2023: $152,775
- 2024: $192,876
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 94% from 268 in 2020 to 520 in 2024.
- 2020: 268
- 2021: 346
- 2022: 334
- 2023: 470
- 2024: 520
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30-day fills
30-day fills increased 93% from 282 in 2020 to 544 in 2024.
- 2020: 282
- 2021: 356
- 2022: 334
- 2023: 476
- 2024: 544
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Part D drug cost
Part D drug cost increased 49% from $3,457 in 2020 to $5,148 in 2024.
- 2020: $3,457
- 2021: $2,304
- 2022: $2,369
- 2023: $4,361
- 2024: $5,148
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Industry payments (Open Payments)
Industry payments (Open Payments) decreased 94% from $2,677.00 in 2019 to $171.80 in 2023.
- 2019: $2,677.00
- 2021: $1,408.05
- 2023: $171.80
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2023), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2023 (payments made January 1 โ December 31, 2023): fewer than 11 records totaling $171.80.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Stryker Corporation |
Food and Beverage
In-kind items and services
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INSPACE | General | $171.80 |
Source: CMS Open Payments, program year 2023, released June 30, 2026.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ by Provider and Service data, 2017โ2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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J1010
Injection, methylprednisolone acetate, 1 mg
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34,181 | 279 | $0.40 | $0.13 |
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J7332
Hyaluronan or derivative, triluron, for intra-articular injection, 1 mg
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3,661 | 39 | $37.50 | $10.19 |
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20610
Aspiration and/or injection of fluid from large joint
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653 | 341 | $424.44 | $73.01 |
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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607 | 383 | $213.00 | $91.21 |
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73030
X-ray of shoulder, minimum of 2 views
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282 | 208 | $162.00 | $35.19 |
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73562
X-ray of knee, 3 views
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239 | 180 | $165.69 | $40.96 |
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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137 | 112 | $329.00 | $128.01 |
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J1040
Injection, methylprednisolone acetate, 80 mg
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122 | 93 | $53.00 | $9.69 |
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99203
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
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104 | 104 | $333.00 | $111.75 |
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73221
Mri scan of arm joint without contrast
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35 | 33 | $2245.00 | $145.92 |
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99212
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
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33 | 32 | $134.00 | $57.30 |
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23472
Prosthetic repair of shoulder joint, total shoulder
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24 | 24 | $8126.00 | $1479.14 |
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73020
X-ray of shoulder, 1 view
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24 | 24 | $123.00 | $21.94 |
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99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
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22 | 22 | $518.00 | $169.78 |
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29827
Repair of shoulder rotator cuff using an endoscope
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14 | 14 | $6434.00 | $1093.25 |
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73721
Mri scan of leg joint without contrast
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14 | 13 | $2224.00 | $145.65 |
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J1030
Injection, methylprednisolone acetate, 40 mg
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13 | 13 | $25.00 | $6.33 |
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29826
Shaving of part of shoulder bone and repair of ligament using an endoscope
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11 | 11 | $3957.00 | $173.45 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Cephalexin | Cephalexin | 95 | 235 | $219.93 | 80 |
| Diclofenac Sodium Er | Diclofenac Sodium | 86 | 2,700 | $2,303.09 | 40 |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 74 | 1,715 | $338.27 | 62 |
| Oxycodone-Acetaminophen | Oxycodone Hcl/Acetaminophen | 67 | 483 | $703.64 | 62 |
| Celecoxib | Celecoxib | 49 | 1,650 | $649.06 | 21 |
| Meloxicam | Meloxicam | 46 | 1,500 | $125.20 | 20 |
| Tramadol Hcl | Tramadol Hcl | 34 | 287 | $70.15 | 20 |
| Diclofenac Sodium | Diclofenac Sodium | 22 | 945 | $456.47 | โ |
| Ibuprofen | Ibuprofen | 19 | 399 | $170.73 | 11 |
| Methylprednisolone | Methylprednisolone | 17 | 132 | $87.63 | 17 |
| Clindamycin Hcl | Clindamycin Hcl | 11 | 82 | $24.20 | โ |
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
NUCC Taxonomy Code: 207X00000X
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
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - ORTHOPEDIC SURGERY
I20081111000854
GA
1052470630
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Resurgens, Llc
2041 Mesa Valley Way, Austell, GA 301066856
Resurgens, Llc
5671 Peachtree Dunwoody Rd Ne, Atlanta, GA 303425022
Phone: 4048479999
Resurgens, Llc
1285 Hembree Rd, Roswell, GA 300764995
Phone: 7704752710
Physiotherapy Associates Inc
655 Molly Ln, Woodstock, GA 301896519
Phone: 7705171080
Resurgens, Llc
270 Chastain Nwrd, Kennesaw, GA 301443012
Phone: 7704218005
Resurgens, Llc
1336 Hwy 54 W, Fayetteville, GA 302144574
Phone: 7704616142
Resurgens, Llc
5671 Peachtree Dunwoody Rd, Atlanta, GA 303425022
Physiotherapy Associates Inc
8509 Hospital Dr, Douglasville, GA 301342414
Phone: 7709475440
Resurgens, Llc
4441 Atlanta Rd Se, Smyrna, GA 300806442
Phone: 7709441100
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Orthopaedic Surgery
Doctor of Medicine (M.D.)
Physician Assistant
Physician Assistant (Certified)
Orthopaedic Surgery
Doctor of Medicine (M.D.)
Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery
Doctor of Medicine (M.D.)
Orthopaedic Surgery
Doctor of Medicine (M.D.)
Orthopaedic Surgery - Orthopaedic Surgery of the Spine
Doctor of Medicine (M.D.)
Career & Practice History
NPI enumerated October 06, 2005.
No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.
NPI Administrative Meta
Other Orthopaedic Surgery Specialists in Austell
- Dr. Scott Kleiman, MD
- Dr. Freddy Achecar, MD
- Dr. Donald Fowler, MD
- Dr. Mark Duffield, DO
- Dr. Ali Mortazavi, DO
- Dr. Brent Cone, MD
Mailing Address
2041 Mesa Valley Way, Suite 100
Austell, GA 301068157
Phone: 7709441100