PERFORMANCE PEDIATRICS AND SPORTS MEDICINE, LLC – Pediatric Sports Medicine Physician, NPI 1295081321

PERFORMANCE PEDIATRICS AND SPORTS MEDICINE, LLC is a healthcare provider. based in Bogart, Georgia. specializing in Pediatric Sports Medicine Physician. The organization holds a License No. 58543 (GA). The NPI Number for PERFORMANCE PEDIATRICS AND SPORTS MEDICINE, LLC is 1295081321

Main info

Organization
Name
PERFORMANCE PEDIATRICS AND SPORTS MEDICINE, LLC
NPI
1295081321
Phone
Not provided
Address
1181 LANGFORD DR
Authorized Official
DR. TARA ANN MERRITT OWNER PHYSICIAN M.D.
Enumeration Date
26 July 2012
Last Update Date
26 July 2012
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:13State licenses:1Digital endpointsOther names

Provider Addresses for PERFORMANCE PEDIATRICS AND SPORTS MEDICINE, LLC

  • 1181 LANGFORD DR

    BLDG 200-101

    BOGART, GA 306222542

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30622)

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Reviews

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Frequently asked questions

What is PERFORMANCE PEDIATRICS AND SPORTS MEDICINE, LLC's NPI number?
PERFORMANCE PEDIATRICS AND SPORTS MEDICINE, LLC's NPI is 1295081321 — the number used across U.S. healthcare to identify this provider.
Is there an active status for PERFORMANCE PEDIATRICS AND SPORTS MEDICINE, LLC?
For scheduling context, PERFORMANCE PEDIATRICS AND SPORTS MEDICINE, LLC is shown as active in the registry.
What kind of doctor is PERFORMANCE PEDIATRICS AND SPORTS MEDICINE, LLC?
PERFORMANCE PEDIATRICS AND SPORTS MEDICINE, LLC is associated with Pediatric Sports Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
Is PERFORMANCE PEDIATRICS AND SPORTS MEDICINE, LLC associated with Bogart?
Public fields place PERFORMANCE PEDIATRICS AND SPORTS MEDICINE, LLC around Bogart, Georgia. Always confirm the exact site before visiting.
Can I trust this NPI listing for PERFORMANCE PEDIATRICS AND SPORTS MEDICINE, LLC?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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