PERFORMANCE PEDIATRICS AND SPORTS MEDICINE, LLC
PERFORMANCE PEDIATRICS AND SPORTS MEDICINE, LLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1295081321, based in Bogart, GA. The organization lists 3 taxonomy classifications, with Pediatric Sports Medicine Physician recorded as primary.
Getting there
The practice address on file is 1181 LANGFORD DR BLDG 200-101, Bogart, GA 30622. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 58543 | GA | Pediatric Sports Medicine Physician primary |
| 58543 | GA | Internal Medicine Physician |
| 58543 | GA | Pediatrics Physician |
This provider holds licence 58543 issued in GA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.
What Sports Medicine covers
A pediatrician who is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual engaged in physical exercise (sports) whether as an individual or in team participation. NUCC Health Care Provider Taxonomy, code 2080S0010X
All registered taxonomy codes
This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 2080S0010X | Pediatric Sports Medicine Physician Sports Medicine | 58543 | GA | primary |
| 207R00000X | Internal Medicine Physician | 58543 | GA | |
| 208000000X | Pediatrics Physician | 58543 | GA |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1295081321 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Jul 26, 2012 |
| Last updated | Jul 26, 2012 |
| Status | Active |
| Practice address |
1181 LANGFORD DR BLDG 200-101 Bogart, GA 30622 (706) 207-6694 |
| Other identifiers |
58543
· Other (GA) 003125239A · Medicaid (GA) 489449582C · Medicaid (GA) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 2 | 9 | 5 | 0 | 8 | 1 | 3 | 2 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 2 | 9 | 5 | 0 | 8 | 2 | 3 | 4 |
Sum = 59 · next multiple of 10 = 60 · check digit = 1 · actual last digit = 1
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.