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

Sports Medicine South, LLC

Organization Sports Medicine (Orthopaedic Surgery) Physician · NPI 1780860924

Sports Medicine South, LLC is a Sports Medicine (Orthopaedic Surgery) Physician in Lawrenceville, Georgia. Licensed in Georgia. Registered with an NPI since 2008.

Licensed in
GA
In the registry since
2008
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

1900 Riverside Pkwy
Lawrenceville, GA 30043-5925
Phone: (770) 237-3475
Fax: (770) 237-3756
Show map & directions

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

Specialties & licences

Sports Medicine (Orthopaedic Surgery) Physician (primary) Taxonomy 207XX0005X · Licence 040138 (GA)

Record details

NPI number1780860924
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gary Levengood — Owner · (770) 237-3475
NPI enumeratedJanuary 17, 2008
Last updated in NPPESJanuary 17, 2008
Mailing address1900 Riverside Pkwy, Lawrenceville, GA 30043-5925

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