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Performance Pediatrics and Sports Medicine, LLC

Pediatric Sports Medicine Physician in Bogart, GA · enumerated 2012 · authorized official Tara Merritt, Owner Physician.

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

National Provider Identifier

1295081321

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Registry record

Entity type Organization (Type 2)
Legal business name Performance Pediatrics and Sports Medicine, LLC
Practice address 1181 Langford Dr, Bldg 200-101, Bogart, GA, 30622
Phone (706) 207-6694
Enumeration date Jul 26, 2012
Last updated in NPPES Jul 26, 2012

Taxonomy & classification

207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians · License 58543 (GA) Secondary
208000000X Pediatrics Physician Allopathic & Osteopathic Physicians · License 58543 (GA) Secondary
2080S0010X Pediatric Sports Medicine Physician Allopathic & Osteopathic Physicians · License 58543 (GA) Primary

Authorized official

Name Tara Merritt
Title Owner Physician
Phone (706) 202-3236

Other identifiers

Identifier Type State Issuer
58543 Other GA STATE MEDICAL LICENSE
003125239A Medicaid GA -
489449582C Medicaid GA -

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

Who is the authorized official for Performance Pediatrics and Sports Medicine, LLC?
NPPES lists Tara Merritt (Owner Physician) as the authorized official for this organization.
What is the NPI number for Performance Pediatrics and Sports Medicine, LLC?
The NPI for Performance Pediatrics and Sports Medicine, LLC is 1295081321, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-07-26.