MEDICARE: CARROLLTON ORTHOPAEDIC CLINIC 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	3336C0002X	Clinic Pharmacy
2	333600000X	Pharmacy	038946	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2158464	OTHER		PK
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1043670243
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARROLLTON ORTHOPAEDIC CLINIC PC

Provider Business Mailing Address
First Line	:	311 PARK PLACE BLVD
Second Line	:	SUITE 500
City	:	CLEARWATER
State	:	FL
Zip	:	33759-4904
Country	:	US
Telephone Number	:	727-755-0693
Fax Number	:

Provider Business Practice Location Address
First Line	:	705 DALLAS HWY STE 301
Second Line	:
City	:	VILLA RICA
State	:	GA
Zip	:	30180-1243
Country	:	US
Telephone Number	:	727-755-0693
Fax Number	:

Authorized Official
Title or Position	:	CFO
Name	:	JAMES GILBERT
Credential	:
Telephone Number	:	727-755-0693

Provider Enumeration Date	:	03/01/2016
Last Update Date	:	03/03/2016

Similar Medicare Providers

1083688873 — DR. VIRGINIA H PRICE MD
Practice Location Address:

705 DALLAS HWY STE 101
VILLA RICA, GA
30180-1243

Practice Phone: 770-459-4411
Practice Fax: 770-459-1896

1811039548 — PINNACLE ORTHOPAEDICS AND SPORTS MEDICINE
Practice Location Address:

705 DALLAS HWY STE 201
VILLA RICA, GA
30180-1243

Practice Phone: 770-456-1659
Practice Fax:

1831312081 — MARY ALEXANDER-ADAMS PA-C
Practice Location Address:

705 DALLAS HWY STE 101
VILLA RICA, GA
30180-1243

Practice Phone: 770-459-4411
Practice Fax: 770-459-1895

1336394915 — MRS. MELANIE WOODALL SMITH M.S., CCC-A
Practice Location Address:

705 DALLAS HWY STE 301
VILLA RICA, GA
30180-1243

Practice Phone: 770-459-0408
Practice Fax: 770-459-1575

1538621099 — MS. LATANYA RENEE CHAPMAN MD
Practice Location Address:

705 DALLAS HWY STE 101
VILLA RICA, GA
30180-1243

Practice Phone: 704-594-4117
Practice Fax: 770-456-3785

1932728326 — TMG NORTHWEST GEORGIA ONCOLOGY CENTER INC
Practice Location Address:

705 DALLAS HWY STE 204
VILLA RICA, GA
30180-1243

Practice Phone: 770-333-2220
Practice Fax: 770-771-5931

Directions to “CARROLLTON ORTHOPAEDIC CLINIC PC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.