NPI age
6 years
Enumerated 2019-07-17
● Active Type 2 · Organization
Board Of Regents Of The University System Of Georgia And On Behalf....
Board Of Regents Of The University System Of Georgia And On Behalf.... is 1 of 66 family medicine organizations in Georgia.
Primary specialty
Family Medicine
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Rackliffe
Senior Vp For Finance And Admin.
Last NPPES update
2019-07-17
Source: monthly bulk 2026-05
How this organization compares
Across 66 active family medicine providers in Georgia.
NPI age
6 years
↓ 9 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2019 → 2026
2019-07Enumerated in NPPES
2019
2026
Where they practice
Primary practice location
755 Hank Aaron Dr Sw
Atlanta, GA 303151120
Mailing address
755 Hank Aaron Dr Sw
Atlanta, GA 303151120
Authorized official
Jerry Rackliffe
Senior Vp For Finance And Admin.
📞 4044133000
Individual providers at this organization
5 individual providers on file at this primary practice address.
- Jamila Dickerson, ATC Specialist/Technologist NPI 1376437079
- Victoria Dimattio Specialist/Technologist NPI 1700368743
- James Lovell, M.ED.,ATC, LAT, EMT Emergency Medical Technician, Basic NPI 1235293713
- Jeffrey Porter, MA,ATC,LAT Specialist/Technologist NPI 1033261813
- Kaitlyn Welch, LAT, ATC Specialist/Technologist NPI 1578139820
Specialties
-
Family Medicine PrimaryA family medicine physician that is trained to be 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...
Practice context
Multi-provider organization. 5 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.