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NPI 1386453629
● Active Type 2 · Organization
Georgia Sports Medicine Specialists
Clinic/Center · Kennesaw, GA · NPI 1386453629
·
Enumerated 2025 · 1 years on NPI
Georgia Sports Medicine Specialists is 1 of 627 clinic/center organizations in Georgia.
NPI age
1 years
Enumerated 2025-01-02
Primary specialty
Clinic/Center
Practice locations
2
1 secondary on file
Status
Active
No deactivations on record
Authorized official
Brakeville
Owner
Last NPPES update
2025-07-08
Source: monthly bulk 2026-05
How this organization compares
Across 627 active clinic/center providers in Georgia.
NPI age
1 years
↓ 11 yr below median
Practice locations
2
1 secondary on file
NPI lifetime · 2025 → 2026
2025-01 Enumerated in NPPES
2025
2026
Where they practice
Primary practice location
2300 Kinsale Point
Kennesaw, GA 301526756
📞 6784693007
Mailing address
2300 Kinsale Point
Kennesaw, GA 301526756
📞 6784693007
Additional practice locations
1 secondary location on file with NPPES.
Location 2
2911 George Busbee Pkwy Nw Ste 50
Kennesaw, GA 301446910
📞 7709041600
Authorized official
Ross Joseph Brakeville
Owner
📞 6784693007
Individual providers at this organization
1 individual provider on file at this primary practice address.
Specialties
Clinic/Center
Primary
An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and...
taxonomy 261QP2000X
Practice context
Multi-provider organization.
1 individual provider on file at this primary address.
Plus 1 secondary practice location.
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How to verify this organization
Confirm the NPI on NPPES. The CMS registry is the system of record. Open NPPES →
Verify the organization is in good standing. Cross-check with the state's business registration and any applicable licensing boards.
Confirm payer enrollment if billing. NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.
Updated 2026-05-14
· Source: CMS NPPES bulk export. Praxis MD refreshes the directory monthly with weekly delta updates.
Independent public resource. Not affiliated with CMS, HHS, or NPPES. Not endorsed by the U.S. government.
NPI listing is not proof of active licensure or payer enrollment.