Dominion Orthopaedic Clinic, Llc
Specialist
6 Concourse Pkwy Ste 260, Atlanta
Georgia, 30328-6117
770-455-4009 770-455-4065
Dominion Orthopaedic Clinic, Llc is a Specialist in Atlanta, Georgia. It is located at 6 Concourse Pkwy Ste 260, Atlanta and it's customer support contact number is 770-455-4009. The authorized person of Dominion Orthopaedic Clinic, Llc is Ruth Clark who is Practice Administrator of this DME and his contact number is 770-455-4009. Active license number of Dominion Orthopaedic Clinic, Llc is 037539 for Specialist in Georgia. Dominion Orthopaedic Clinic, Llc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Dominion Orthopaedic Clinic, Llc is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
DME Supplier Details:
Dominion Orthopaedic Clinic, Llc type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Dominion Orthopaedic Clinic, Llc |
| Type: | Specialist |
| Location: | 6 Concourse Pkwy Ste 260, Atlanta,
Georgia, 30328-6117 |
| Phone: | 770-455-4009 |
| Fax: | 770-455-4065 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Ruth Clark |
| Position: | Practice Administrator |
| Contact Number: | 770-455-4009 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1518096122 |
| NPI Enumeration Date: | 02 Mar, 2007 |
| NPI Last Update On: | 04 Jan, 2023 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dominion Orthopaedic Clinic, Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Specialist | 037539 | Georgia | Primary | |
| Durable Medical Equipment & Medical Supplies | | | Secondary | |
Medicare Enrollment:
Dominion Orthopaedic Clinic, Llc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 1951406404 | O20070412000161 | Dominion Orthopaedic Clinic, Llc | PART B SUPPLIER - CLINIC/GROUP PRACTICE |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 5555 Peachtree Dunwoody Rd Ne, Suite 215
Atlanta, Georgia |
| Zip: | 30342-1703 |
| Phone Number: | 770-455-4009 |
| Fax Number: | 770-455-4065 |
Patients can reach Dominion Orthopaedic Clinic, Llc at
6 Concourse Pkwy Ste 260, Atlanta, Georgia or can
call on customer care at 770-455-4009.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.