NPI age
19 years
Enumerated 2006-07-22
● Active Type 2 · Organization
Jim W. Roderique, M.d., P.c.
Jim W. Roderique, M.d., P.c. is 1 of 89 orthopaedic surgery organizations in Georgia.
Primary specialty
Orthopaedic Surgery
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Caudell
Administrator
Last NPPES update
2020-08-22
Source: monthly bulk 2026-05
How this organization compares
Across 89 active orthopaedic surgery providers in Georgia.
NPI age
19 years
≈ at median (19 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-07Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
955 Spring St Nw
Atlanta, GA 303093821
Mailing address
955 Spring St Nw
Atlanta, GA 303093821
Authorized official
Carol T. Caudell
Administrator
📞 4048724263
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Dawn Bowen, OTR L CHT Occupational Therapist NPI 1245358209
- Jim Roderique, M.D. Orthopaedic Surgery NPI 1205857307
Specialties
-
Orthopaedic Surgery PrimaryAn orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 55002692A |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
The Roderique Centre for Hand and Upper Extremity Surgery
Practice context
Multi-provider organization. 2 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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