Organization · Type 2 NPI

Privia Medical Group Tennessee LLC

Sports Medicine (Orthopaedic Surgery) Physician · Lawrenceburg, TN

NPI number 1023775038 Active

Practice location

1009 N Locust Ave
Lawrenceburg, TN 38464-2746

Call (571) 982-6636 Map

Mailing address

950 N Glebe Rd Ste 400
Arlington, VA 22203-1824

Specialties and licenses

Taxonomy	Code	License
Sports Medicine (Orthopaedic Surgery) Physician Primary	207XX0005X	None listed

Sports Medicine (Orthopaedic Surgery) Physician: An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the te…

7 other providers at this address

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NPI record

NPI: 1023775038
Entity type: Organization (Type 2)
Issued: Nov 24, 2021
Last updated: Jul 13, 2022
Status: Active

Other names

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Sports Ortho Urgent Care · doing business as
Sports Ortho Urgent Care · doing business as

Authorized official

Mary Roller
Associate Director/ Enrollment
(770) 312-5226

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1023775038

Privia Medical Group Tennessee LLC's National Provider Identifier is 1023775038, issued on Nov 24, 2021. The primary taxonomy on file is Sports Medicine (Orthopaedic Surgery) Physician (207XX0005X), and the practice location is in Lawrenceburg, TN. The record was last updated on Jul 13, 2022.