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Southland Sports Medicine and Wellness, Inc.

Sports Medicine (Physical Medicine & Rehabilitation) Physician in Blue Ridge, GA · enumerated 2006 · authorized official Mark Leski, Owner/ Physician.

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

National Provider Identifier

1487671475

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Registry record

Entity type Organization (Type 2)
Legal business name Southland Sports Medicine and Wellness, Inc.
Practice address 809 E Main St, Blue Ridge, GA, 30513
Enumeration date Jul 16, 2006
Last updated in NPPES Sep 11, 2025

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 33624 (GA) Secondary
2081S0010X Sports Medicine (Physical Medicine & Rehabilitation) Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Mark Leski
Title Owner/ Physician

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

What type of organization is Southland Sports Medicine and Wellness, Inc.?
Southland Sports Medicine and Wellness, Inc. is registered in NPPES as a Sports Medicine (Physical Medicine & Rehabilitation) Physician (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-09-11.