MEDICARE: BARBOUR ORTHOPAEDICS & SPORTS MEDICINE PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician	051908	GA

General Provider Information

NPI Number	:	1568781631
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BARBOUR ORTHOPAEDICS & SPORTS MEDICINE PC

Provider Business Mailing Address
First Line	:	3240 NORTHEAST EXPY NE STE 100
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30341-4003
Country	:	US
Telephone Number	:	404-480-4330
Fax Number	:	404-480-4330

Provider Business Practice Location Address
First Line	:	3240 NORTHEAST EXPY NE STE 100
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30341-4003
Country	:	US
Telephone Number	:	404-480-4330
Fax Number	:	404-480-4330

Authorized Official
Title or Position	:	DIRECTOR OF OPERATIONS
Name	:	ALEJANDRO FERRER
Credential	:
Telephone Number	:	202-841-5518

Provider Enumeration Date	:	05/27/2010
Last Update Date	:	10/08/2025

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