Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Midwestern Advanced Orthopaedics and Sports Medicine Inc

Organization Surgical Physician Assistant · NPI 1740560978

Midwestern Advanced Orthopaedics and Sports Medicine Inc is a Surgical Physician Assistant in Decatur, Georgia. Licensed in Georgia. Registered with an NPI since 2011.

Licensed in
GA
In the registry since
2011
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2801 N Decatur Rd Ste 200
Decatur, GA 30033-5949
Phone: (404) 296-5005
Fax: (404) 296-2070
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 6115 (GA)

Record details

NPI number1740560978
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Douglas Johnson — Owner · (404) 296-5005
NPI enumeratedAugust 19, 2011
Last updated in NPPESAugust 19, 2011
Mailing address433 Highland Ave Ne, Apt 1407, Atlanta, GA 30312-1391

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