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

Phoenix Ortho Injury Spine and Extremity Medical Services LLC

Organization Orthopaedic Surgery Physician · NPI 1396516860

Phoenix Ortho Injury Spine and Extremity Medical Services LLC is an Orthopaedic Surgery Physician in Stone Mountain, Georgia. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1805 Parke Plaza Cir Ste 101
Stone Mountain, GA 30087-3646
Phone: (919) 451-2129
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X

Record details

NPI number1396516860
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brian Adam — Owner · (919) 451-2129
NPI enumeratedJanuary 12, 2024
Last updated in NPPESJanuary 12, 2024
Certification dateJanuary 12, 2024
Mailing address1805 Parke Plaza Cir Ste 101, Stone Mountain, GA 30087-3646

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