1811862733 NPI number — BARBOUR ORTHOPAEDICS & SPORTS MEDICINE PC

Table of content: TRONDA DOUGLAS TRAINEE QMHP (NPI 1427892512)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1811862733 NPI number — BARBOUR ORTHOPAEDICS & SPORTS MEDICINE PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BARBOUR ORTHOPAEDICS & SPORTS MEDICINE PC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1811862733
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/09/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3240 NORTHEAST EXPY NE STE 100
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ATLANTA
Provider Business Mailing Address State Name:
GA
Provider Business Mailing Address Postal Code:
30341-4003
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
404-480-9330
Provider Business Mailing Address Fax Number:
404-480-4233

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2505 CHASTAIN MEADOWS PKWY NW STE A
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MARIETTA
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30066-3330
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
404-480-9330
Provider Business Practice Location Address Fax Number:
404-480-4233
Provider Enumeration Date:
10/09/2025

Additional Information

Authorized Official

Authorized Official Last Name:
FERRER
Authorized Official First Name:
ALEJANDRO
Authorized Official Middle Name:
Authorized Official Title or Position:
DIRECTOR OF OPERATIONS
Authorized Official Telephone Number:
202-841-5518

Provider Taxonomy Codes

  • Taxonomy code: 207X00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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