NPI age
6 years
Enumerated 2020-05-01
● Active Type 2 · Organization
Sports Medicine South Of Gwinnett Llc
Sports Medicine South Of Gwinnett Llc is 1 of 128 orthopaedic surgery organizations in Georgia.
Primary specialty
Orthopaedic Surgery
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Hernandez
Vp/cco
Last NPPES update
2025-06-03
Source: monthly bulk 2026-05
How this organization compares
Across 128 active orthopaedic surgery providers in Georgia.
NPI age
6 years
↓ 12 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2020 → 2026
2020-05Enumerated in NPPES
2020
2026
Where they practice
Primary practice location
1900 Riverside Pkwy
Lawrenceville, GA 300435925
Mailing address
1001 Summit Blvd Ste 1000
Brookhaven, GA 303196415
Authorized official
Jorge Hernandez
Vp/cco
📞 4048518000
Individual providers at this organization
11 individual providers on file at this primary practice address.
- Miranda Basto, PAC Physician Assistant NPI 1538965256
- Curtis Bazemore, PT, ATC Physical Therapist NPI 1114001328
- Tammy Brent, PTA Physical Therapy Assistant NPI 1134849557
- Diana Dean, P.A. Physician Assistant NPI 1598765950
- Lindsey Garrison, PA-C Physician Assistant NPI 1316291610
- Harrison Goodno, MD Family Medicine NPI 1942512959
- Viboon Hansahiranvadee, P.T. Physical Therapist NPI 1649493867
- Katie Hickman, PA-C Physician Assistant NPI 1568218154
- Gary Levengood, M.D. Orthopaedic Surgery NPI 1871593285
- Harris Patel, PA-C, ATC Physician Assistant NPI 1205866878
- Jennifer Sweigart, PA-C Physician Assistant NPI 1558793489
Specialties
-
Orthopaedic Surgery PrimaryAn orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including...
Practice context
Multi-provider organization. 11 individual providers on file at this primary address.
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