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

Providence Orthopedics & Sports Medicine, PC

Organization Adult Reconstructive Orthopaedic Surgery Physician · NPI 1881895035

Providence Orthopedics & Sports Medicine, PC is an Adult Reconstructive Orthopaedic Surgery Physician in Monroe, Georgia. Licensed in Georgia. Registered with an NPI since 2007.

Licensed in
GA
In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1401 W Spring St Ste 200
Monroe, GA 30655-1760
Phone: (770) 267-0978
Fax: (770) 207-7842
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Reconstructive Orthopaedic Surgery Physician (primary) Taxonomy 207XS0114X · Licence 055950 (GA)

Record details

NPI number1881895035
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Harkins — President · (770) 267-0978
NPI enumeratedMay 29, 2007
Last updated in NPPESDecember 30, 2009
Mailing address1401 W Spring St, Suite 200, Monroe, GA 30655-1760