Dominion Orthopaedic Clinic, LLC
NPI 1518096122 · Specialist · Atlanta, GA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Dominion Orthopaedic Clinic, LLC is a Specialist organization in Atlanta, GA (NPI 1518096122).
Provider details
- NPI number
- 1518096122
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Ruth Clark, Practice Administrator(770) 455-4009
Specialties & taxonomies
Other Service Providers
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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)
- 6564 Professional PlRiverdale, GA 30274-2588Phone: (770) 455-4009Fax: (770) 455-4065
Registry dates
- Enumerated
- 2007-03-02
- Last updated
- 2023-01-04
- Certified
- 2023-01-04
Frequently asked questions
- What is Dominion Orthopaedic Clinic, LLC's NPI number?
- Dominion Orthopaedic Clinic, LLC's National Provider Identifier (NPI) is 1518096122, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Dominion Orthopaedic Clinic, LLC?
- Dominion Orthopaedic Clinic, LLC is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Dominion Orthopaedic Clinic, LLC located?
- Dominion Orthopaedic Clinic, LLC's practice location on file with NPPES is 6 Concourse Pkwy Ste 260, Atlanta, GA 30328-6117.
- What is Dominion Orthopaedic Clinic, LLC's phone number?
- The practice phone number listed in the NPPES registry for Dominion Orthopaedic Clinic, LLC is (770) 455-4009.
- Does Dominion Orthopaedic Clinic, LLC accept Medicare?
- Dominion Orthopaedic Clinic, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Dominion Orthopaedic Clinic, LLC?
- The authorized official listed on Dominion Orthopaedic Clinic, LLC's NPPES record is Ruth Clark, Practice Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Dominion Orthopaedic Clinic, LLC's NPI active?
- Yes — Dominion Orthopaedic Clinic, LLC's NPI (1518096122) is active in the NPPES registry as of the last update on 2023-01-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.