GEORGIA INTERVENTIONAL PAIN - D, LLC (NPI# 1043660442) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1043660442 |
Entity Type | Organization |
Organization Name | GEORGIA INTERVENTIONAL PAIN - D, LLC |
Practice Address |
484 Irvin Ct Suite 130 Decatur GA 30030-5406 |
Mailing Address |
455 Philip Blvd Suite 140 Lawrenceville GA 30046-8767 |
Practice Telephone | 7709623642 |
Practice Fax Number | 7709623643 |
Mailing Telephone | 7709623642 |
Mailing Fax Number | 7709623643 |
Enumeration Date | 2016-06-16 |
Last Update Date | 2020-03-09 |
Authorized Official Name | DR. AMIT PATEL (MEDICAL DIRECTOR) |
Authorized Official Telephone | 7709623642 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
Street Address |
484 IRVIN CT SUITE 130 |
City | DECATUR |
State | GA |
Zip Code | 30030-5406 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275531907 | Jenny Christine Kim | Otolaryngology | 484 Irvin Ct, Ste 140, Decatur, GA 30030-5406 | 2005-07-07 |
1306000906 | Premier Family Medicine Center, LLC | Family Medicine | 484 Irvin Ct, Suite 110, Decatur, GA 30030-5406 | 2008-07-12 |
1326237967 | The South Atlanta Center for Endocrinology. LLC | Specialist | 484 Irvin Ct, Suite 220, Decatur, GA 30030-5406 | 2007-10-19 |
1902910409 | Khaja Ahmed | Family Medicine | 484 Irvin Ct, Ste 110, Decatur, GA 30030-5406 | 2006-08-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801413174 | Pa-c Surgical Assist, LLC | Clinic/Center | 520 W Ponce Leon Ave #1706, Decatur, GA 30030 | 2020-07-02 |
1417587478 | Elizabeth Heffron | Acupuncturist | 619b East College Avenue, Decatur, GA 30030 | 2020-01-17 |
1669016143 | Atlanta Upper Cervical Chiropractic LLC | Chiropractor | 125 E Trinity Place, Suite #247, Decatur, GA 30030 | 2019-10-29 |
1831757418 | Jessica Stewart | Counselor | 755 Commerce Dr Ste 903, Decatur, GA 30030 | 2019-05-30 |
1699238733 | Dinah Augustin | Registered Nurse | 1458 Church St., Unit B, Decatur, GA 30030 | 2019-04-06 |
1093284291 | Eliza Segell | Social Worker | 165 Dekalb Industrial Way Ste D-1, Decatur, GA 30030 | 2018-11-16 |
1912476466 | Positive Impact Health Centers, Inc. | Pharmacy | 523 Church Street, Suite B, Decatur, GA 30030 | 2018-11-14 |
1932685096 | T2 Imaging | Radiology | 1376 Church Street, Suite 100, Decatur, GA 30030 | 2018-07-12 |
1992292858 | Keeanna M Powell | Counselor | Agape Transformation Practice, 235 E. Ponce De Leon Ave Suite 103, Decatur, GA 30030 | 2018-04-17 |
1780185488 | Solutions Ae Inc | Counselor | One West Square Court, Suite 710, Decatur, GA 30030 | 2018-02-27 |
Find all providers in zip 30030 |
Taxonomy Code | 261QA1903X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Ambulatory Surgical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801413174 | Pa-c Surgical Assist, LLC | Clinic/Center | 520 W Ponce Leon Ave #1706, Decatur, GA 30030 | 2020-07-02 |
1699328369 | Georgia Urology, Pa | Clinic/Center | 1670 Scott Blvd Ste 204k, Decatur, GA 30033-5645 | 2019-07-22 |
1568984375 | American Access Care of Atlanta Asc LLC | Clinic/Center | 250 E Ponce Deleon Avenue, Suite 100, Decatur, GA 30030-3406 | 2017-07-13 |
1194255372 | Decatur Urology Surgery Center | Clinic/Center | 2711 Irvin Way Ste 101, Decatur, GA 30030 | 2017-06-19 |
1962513788 | Surgery Center of Decatur Lp | Clinic/Center | 1122 14th Avenue Se, Decatur, AL 35601-3361 | 2006-08-31 |
1891716049 | Georgia Urology Ambulatory Surgical Center LLC | Clinic/Center | 2685 Milscott Dr, Decatur, GA 30033-5906 | 2006-07-22 |
1134185564 | Decatur Digestive Disease Center LLC | Clinic/Center | 2 Memorial Dr Suite 102, Physician Plaza West, Decatur, IL 62526-3950 | 2006-04-25 |
1730601865 | Snapfinger Vascular Access Center Asc LLC | Clinic/Center | 5246 Snapfinger Park Dr, Decatur, GA 30035-4044 | 2017-07-11 |
1568705846 | Dekalb Center for Foot and Ankle Surgery, LLC | Clinic/Center | 215 Clairemont Ave, Decatur, GA 30030-2508 | 2013-04-04 |
1922262278 | Eps Surgical Center, LLC | Clinic/Center | 1457 Scott Blvd, Decatur, GA 30030-1425 | 2008-07-16 |
Find all providers in DECATUR |
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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.