MEDICARE: ACADEMY ORTHOPEDICS, 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	28421	GA

Other Identifiers

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

General Provider Information

NPI Number	:	1891229068
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ACADEMY ORTHOPEDICS, LLC

Provider Business Mailing Address
First Line	:	3929 CARTER RD
Second Line	:
City	:	BUFORD
State	:	GA
Zip	:	30518-1628
Country	:	US
Telephone Number	:	770-271-9855
Fax Number	:	770-271-1118

Provider Business Practice Location Address
First Line	:	3929 CARTER RD
Second Line	:
City	:	BUFORD
State	:	GA
Zip	:	30518-1628
Country	:	US
Telephone Number	:	770-271-9855
Fax Number	:	770-271-1118

Authorized Official
Title or Position	:	DIRECTOR OF OPERATIONS
Name	:	PAM AUSTIN MORGAN
Credential	:
Telephone Number	:	678-992-0258

Provider Enumeration Date	:	04/14/2017
Last Update Date	:	11/11/2025

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Directions to “ACADEMY ORTHOPEDICS, LLC ” Practice Location

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