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	207XX0005X	Sports Medicine (Orthopaedic Surgery) Physician

General Provider Information

NPI Number	:	1780215038
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	:	404-480-9330
Fax Number	:

Provider Business Practice Location Address
First Line	:	5505 ROSWELL RD STE 100
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30342-1983
Country	:	US
Telephone Number	:	404-480-9330
Fax Number	:

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

Provider Enumeration Date	:	01/27/2020
Last Update Date	:	10/08/2025

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