Image

Mr. Tommie Russell Berry JR.

Sports Medicine

655 Jesse Jewell Pkwy Se Ste B
Gainesville , Georgia 30501-3854

Write a Review Save Call QR Code
Image

Mr. Tommie Russell Berry JR.

Sports Medicine

655 Jesse Jewell Pkwy Se Ste B
Gainesville , Georgia 30501-3854

(330) 379-5074

Write a Review Save Call

Mr. Tommie Russell Berry JR.

Sports Medicine

655 Jesse Jewell Pkwy Se Ste B
Gainesville , Georgia 30501-3854

(330) 379-5074 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Sports Medicine

Languages spoken

  • English

Location

655 Jesse Jewell Pkwy Se Ste B Gainesville , Georgia 30501-3854

First Address

  • Mr. Tommie Russell Berry JR.
  • 444 N Main St Ste 201
  • Akron, OH
  • Zip : 44310-3110
  • Fax : (330) 379-5074
  • Phone : (330) 379-5051

Second Address

  • Mr. Tommie Russell Berry JR.
  • 655 Jesse Jewell Pkwy Se Ste B
  • Gainesville, GA
  • Zip : 30501-3854
  • Fax : (770) 536-6006
  • Phone : (770) 536-6300

Reviews

Start your review of Mr. Tommie Russell Berry JR.

FAQs


Where did Mr. Tommie Russell Berry JR. attend graduate school?

Provider has not completed his profile. If you are JR. Tommie Berry, click here to claim your profile

Where did Mr. Tommie Russell Berry JR. do his residency?

Provider has not completed his profile. If you are JR. Tommie Berry, click here to claim your profile

Where did Mr. Tommie Russell Berry JR. do his fellowship?

Provider has not completed his profile. If you are JR. Tommie Berry, click here to claim your profile

Is Mr. Tommie Russell Berry JR. board certified?

Provider has not completed his profile. If you are JR. Tommie Berry, click here to claim your profile

What type of doctor is Mr. Tommie Russell Berry JR.

Sports Medicine

In what state does Mr. Tommie Russell Berry JR. practice in?

Georgia

Where is Mr. Tommie Russell Berry JR.’s practice located?

655 Jesse Jewell Pkwy Se Ste B , Gainesville, Georgia, 30501-3854

What is Mr. Tommie Russell Berry JR.’s gender?

Male

Is Mr. Tommie Russell Berry JR. a sole practitioner?

No

Is Mr. Tommie Russell Berry JR. accepting new patients?

Provider has not completed his profile. If you are JR. Tommie Berry, click here to claim your profile

What languages does Mr. Tommie Russell Berry JR. speak?

Provider has not completed his profile. If you are JR. Tommie Berry, click here to claim your profile

Does Mr. Tommie Russell Berry JR. accept insurance?

Yes, Mr. Tommie Russell Berry JR. accepts insurance

Does Mr. Tommie Russell Berry JR. offers telemedicine?

Mr. Tommie Russell Berry JR. has not indicated if he offers telemedicine

What is Mr. Tommie Russell Berry JR.’s professional license number?

Provider has not completed his profile. If you are JR. Tommie Berry, click here to claim your profile

What is Mr. Tommie Russell Berry JR.’s NPI number?

1336567007

Does Mr. Tommie Russell Berry JR. have any license restrictions?

Provider has not completed his profile. If you are JR. Tommie Berry, click here to claim your profile

Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
N 2081S0010X Sports Medicine 85696 SC
N 213ES0000X Sports Medicine 85696 SC
Y 2081S0010X Sports Medicine 89500 GA
Y 213ES0000X Sports Medicine 89500 GA

National Provider Identifier

NPI 1336567007
Provider Name Mr. Tommie Russell Berry JR.
First Address Akron, OH 44310-3110
Second Address Gainesville, GA 30501-3854
Gender M
NPI Entity type Individual
Is Sole Proprietor Yes
Is Organization Subpart N/A
Enumeration Date 31/03/2014
Last Update Date 30/07/2021

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

Claim this business page.

This profile has not yet been claimed by the owner or a representative.

Search

Hello GPT