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Board of Regents of the University System of Georgia and on Behalf....

Sports Medicine (Family Medicine) Physician in Atlanta, GA · enumerated 2019 · authorized official Jerry Rackliffe, Senior Vp for Finance and Admin..

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1114570389

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Registry record

Entity type Organization (Type 2)
Legal business name Board of Regents of the University System of Georgia and on Behalf....
Practice address 755 Hank Aaron Dr Sw, Atlanta, GA, 30315
Phone (404) 413-4040
Fax (404) 413-4041
Enumeration date Jul 17, 2019
Last updated in NPPES Jul 17, 2019

Taxonomy & classification

207QS0010X Sports Medicine (Family Medicine) Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Jerry Rackliffe
Title Senior Vp for Finance and Admin.
Phone (404) 413-3000

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2019-07-17. Verify at npiregistry.cms.hhs.gov.
Where is Board of Regents of the University System of Georgia and on Behalf.... located?
The practice location on file with NPPES is in Atlanta, GA.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-07-17.