MEDICARE: NSIGHT ORTHOPEDICS & REGENERATIVE MEDICINE LLC

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

General Provider Information

NPI Number	:	1790641660
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NSIGHT ORTHOPEDICS & REGENERATIVE MEDICINE LLC

Provider Business Mailing Address
First Line	:	33 UPPER RIVERDALE RD SW STE 118
Second Line	:
City	:	RIVERDALE
State	:	GA
Zip	:	30274-2642
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	33 UPPER RIVERDALE RD SW STE 118
Second Line	:
City	:	RIVERDALE
State	:	GA
Zip	:	30274-2642
Country	:	US
Telephone Number	:	770-991-8000
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ROBERT ANTHONY NELSON
Credential	:	MD
Telephone Number	:	770-376-9333

Provider Enumeration Date	:	01/05/2026
Last Update Date	:	01/05/2026

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