ADVANCE PAIN MANAGEMENT LLC. (NPI# 1013213073) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013213073 |
| Entity Type | Organization |
| Organization Name | ADVANCE PAIN MANAGEMENT LLC. |
| Practice Address |
2950 Stone Hogan Conn Sw Bldg A, Ste B Atlanta GA 30331-2837 |
| Mailing Address |
150 Medical Blvd Ste C Stockbridge GA 30281-5053 |
| Practice Telephone | 4047812800 |
| Practice Fax Number | 4048442903 |
| Mailing Telephone | 4049326172 |
| Mailing Fax Number | 4048442903 |
| Enumeration Date | 2011-02-08 |
| Last Update Date | 2012-12-07 |
| Authorized Official Name | GEETHA MANCHIREDDY (ANESTHESIA) |
| Authorized Official Telephone | 4049326172 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000943533B | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548641681 | Advance Pain Management LLC. | Pain Medicine | 6131 S Norcross Tucker Rd, Suite 700, Norcross, GA 30093-5536 | 2015-06-15 |
| Street Address |
2950 STONE HOGAN CONN SW BLDG A, STE B |
| City | ATLANTA |
| State | GA |
| Zip Code | 30331-2837 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528353117 | Mus Centers of Georgia, Inc. | Clinic/Center | 2950 Stone Hogan Conn Sw, Bldg A, Suite C, Atlanta, GA 30331-2837 | 2011-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861001174 | Whitney Flemister | Social Worker | 3961 Princeton Lakes Way Sw, Atlanta, GA 30331 | 2020-07-23 |
| 1982237400 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 5829 Campbellton Road, S.w, Suite 110, Atlanta, GA 30331 | 2020-02-13 |
| 1295375558 | Drusilla Precious Cudjoe | Behavior Technician | 3800 Camp Creek Parkway Sw, Building 1400, Atlanta, GA 30331 | 2020-01-14 |
| 1497262778 | Champions Pharmacy | Pharmacy | 3886 Princeton Lakes Way Suite 180, Atlanta, GA 30331 | 2018-01-08 |
| 1033629779 | Carmen Ardoin | Counselor | 2636 Martin Luther King Jr. Drive, Suite 12, Atlanta, GA 30331 | 2017-10-09 |
| 1346759974 | Neva R Allison | Nurse Practitioner | 2611 Dayview Ln, Atlanta, GA 30331 | 2017-09-26 |
| 1538678255 | Natalie Mckay | Technician/Technologist | 3915 Cascade Rd, 220, Atlanta, GA 30331 | 2017-09-26 |
| 1700304268 | Tyrone Pipkin | Contractor | 415 Kendrick Terrace Sw, Atlanta, GA 30331 | 2017-09-05 |
| 1073031688 | Kristen Wooldridge | Pharmacist | 3695 Cascade Road, Atlanta, GA 30331 | 2017-09-04 |
| 1548704687 | Advance Pain Management | Health Maintenance Organization | 2950 Stone Hogan Road Connector, Atlanta, GA 30331 | 2016-12-08 |
| Find all providers in zip 30331 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215273974 | Buckhead Injury and Wellness Institute PC | Anesthesiology | 5825 Glenridge Dr Ne Ste 212, Atlanta, GA 30328-5387 | 2012-12-27 |
| 1861710584 | Dr. Pain LLC | Anesthesiology | 5445 Meridian Marks Rd Ne Ste 370, Atlanta, GA 30342-4766 | 2010-05-05 |
| 1942406830 | Romie Earl Roland | Anesthesiology | 2654 Santa Monica Dr Nw, Atlanta, GA 30318-7331 | 2007-06-26 |
| 1720118763 | Darbye Suzanne Mcclanahan | Anesthesiology | 1801 Peachtree St Ne Ste 250, Atlanta, GA 30309-1881 | 2007-03-07 |
| 1558310151 | Shawn Christopher Cable | Anesthesiology | 2061 Peachtree Rd Ne Ste 225, Atlanta, GA 30309-1447 | 2006-05-09 |
| 1730157488 | Geetha Manchireddy | Anesthesiology | 2950 Stone Hogan Connector Rd Sw, Building A Suite B, Atlanta, GA 30331-2837 | 2006-03-09 |
| 1659634798 | Rishi Raj Agarwal | Anesthesiology | 5670 Peachtree Dunwoody Rd Ste 900, Atlanta, GA 30342-4789 | 2012-06-22 |
| 1447529342 | Pain Management of The South | Anesthesiology | 3890 Redwine Rd Sw, Suite 200, Atlanta, GA 30331-5582 | 2011-12-21 |
| 1679869234 | Muhammad Yawar Jamal Qadri | Anesthesiology | 550 Peachtree St Ne, Atlanta, GA 30308-2212 | 2011-06-22 |
| 1821384660 | Cheryl Jean Hartzell | Anesthesiology | 1405 Clifton Rd Ne, Atlanta, GA 30322-1060 | 2011-06-20 |
| Find all providers in ATLANTA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.