Ortho Sport & Spine Physicians Kennesaw
NPI 1164046132 · Physical Medicine & Rehabilitation Physician · Kennesaw, GA
Ortho Sport & Spine Physicians Kennesaw is a Physical Medicine & Rehabilitation Physician organization in Kennesaw, GA (NPI 1164046132).
Provider details
- NPI number
- 1164046132
- Entity type
- Organization
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Christopher Sims, Credentialing Manager(678) 752-7246
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Pain Clinic/Center261QP3300X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 4255 Wade Green Rd NwKennesaw, GA 30144-1762Phone: (678) 752-7246
Registry dates
- Enumerated
- 2020-06-04
- Last updated
- 2023-06-22
- Certified
- 2023-06-22
Frequently asked questions
- What is Ortho Sport & Spine Physicians Kennesaw's NPI number?
- Ortho Sport & Spine Physicians Kennesaw's National Provider Identifier (NPI) is 1164046132, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ortho Sport & Spine Physicians Kennesaw?
- Ortho Sport & Spine Physicians Kennesaw is classified in the NPPES registry as Physical Medicine & Rehabilitation Physician (Allopathic & Osteopathic Physicians).
- Where is Ortho Sport & Spine Physicians Kennesaw located?
- Ortho Sport & Spine Physicians Kennesaw's practice location on file with NPPES is 3900 Frey Rd Nw Ste 106, Kennesaw, GA 30144-5424.
- What is Ortho Sport & Spine Physicians Kennesaw's phone number?
- The practice phone number listed in the NPPES registry for Ortho Sport & Spine Physicians Kennesaw is (678) 752-7246.
- Who is the authorized official for Ortho Sport & Spine Physicians Kennesaw?
- The authorized official listed on Ortho Sport & Spine Physicians Kennesaw's NPPES record is Christopher Sims, Credentialing Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ortho Sport & Spine Physicians Kennesaw's NPI active?
- Yes — Ortho Sport & Spine Physicians Kennesaw's NPI (1164046132) is active in the NPPES registry as of the last update on 2023-06-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.