MEDICARE: ORTHOATLANTA, LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	2471M1202X	Magnetic Resonance Imaging Radiologic Technologist
2	2081P2900X	Pain Medicine (Physical Medicine & Rehabilitation) Physician
3	207XS0106X	Orthopaedic Hand Surgery Physician
4	207XS0117X	Orthopaedic Surgery of the Spine Physician
5	2251X0800X	Orthopedic Physical Therapist
6	363A00000X	Physician Assistant
7	207XX0005X	Sports Medicine (Orthopaedic Surgery) Physician
8	207XS0114X	Adult Reconstructive Orthopaedic Surgery Physician
9	207X00000X	Orthopaedic Surgery Physician

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	6285940013	OTHER	GA	MEDICARE DME

General Provider Information

NPI Number	:	1851756506
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ORTHOATLANTA, LLC

Provider Business Mailing Address
First Line	:	3100 INTERSTATE NORTH CIR SE STE 500
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30339-2296
Country	:	US
Telephone Number	:	770-953-6929
Fax Number	:

Provider Business Practice Location Address
First Line	:	1800 HOWELL MILL RD NW
Second Line	:	SUITE 200
City	:	ATLANTA
State	:	GA
Zip	:	30318-2538
Country	:	US
Telephone Number	:	404-352-1015
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MICHAEL OCHAL
Credential	:
Telephone Number	:	770-953-6929

Provider Enumeration Date	:	12/23/2015
Last Update Date	:	12/04/2025

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