DR. JUSTIN LEE ROUNTREE (NPI# 1053572800) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1053572800 |
Entity Type | Individual |
Full Name | DR. JUSTIN LEE ROUNTREE |
Credential | MD |
Practice Address |
1497 Fair Rd Ste 206 Statesboro GA 30458-0824 |
Practice Telephone | 9124861141 |
Practice Fax Number | 9128712483 |
Mailing Telephone | 9124861141 |
Mailing Fax Number | 9128712483 |
Enumeration Date | 2008-06-24 |
Last Update Date | 2020-09-17 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
81392 | GA | Allopathic & Osteopathic Physicians |
N | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
2012-00569 | NC | Allopathic & Osteopathic Physicians |
Address | Telephone Number | Fax Number |
---|---|---|
Department of Anesthesiology, N2198 Unc Hospital Cb#7010, Chapel Hill, NC 275997010 | 9199665136 | 9849744873 |
Street Address |
1497 FAIR RD STE 206 |
City | STATESBORO |
State | GA |
Zip Code | 30458-0824 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649789041 | Jeanna Lynn Smith | Nurse Practitioner | 1497 Fair Rd Ste 206, Statesboro, GA 30458-0824 | 2017-09-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639642218 | Youtherapy | Counselor | 430 Northside Dr East, Suite 160 Mb326, Statesboro, GA 30458 | 2019-01-07 |
1053891853 | Alexandria Franklin | Specialist/Technologist | 1332 Southern Dr, Statesboro, GA 30458 | 2018-08-21 |
1740780006 | Michael Ryan Clark | Pharmacist | 556 Northside Drive, Statesboro, GA 30458 | 2018-02-13 |
1689186405 | Chandler James Herman | Specialist/Technologist | 590 Herty Dr., Statesboro, GA 30458 | 2017-11-02 |
1477009181 | Mama Doc Pediatrics, LLC | Pediatrics | 400 East Grady Street, Statesboro, GA 30458 | 2016-09-01 |
1053761171 | Rebekah Roessler | Specialist/Technologist | 2687 Akins Blvd, Statesboro, GA 30458 | 2016-06-20 |
1427412253 | Refocus Counseling and Consulting Services | Community/Behavioral Health | 4325 Country Club, 4, Statesboro, GA 30458 | 2016-04-07 |
1023408523 | Kacy H. Nesmith | Nurse Practitioner | 1098 Bermuda Run, Suite 6, Statesboro, GA 30458 | 2015-02-04 |
1760870398 | Jessica Pasternack | Specialist/Technologist | 2687 Akins Boulevard, Statesboro, GA 30458 | 2015-01-06 |
1922401629 | Nathan D'amico | Student in an Organized Health Care Education/Training Program | 15 W Grady Street Unit A, Statesboro, GA 30458 | 2014-10-08 |
Find all providers in zip 30458 |
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 |
---|---|---|---|---|
1093331423 | Premier Healthcare Center Corp | Anesthesiology | 4153 Flat Shoals Pkwy Ste 102, Decatur, GA 30034-4106 | 2020-06-22 |
1205457710 | Urgent Pain Management, Inc | Anesthesiology | 1001 Virginia Ave, Hapeville, GA 30354-1328 | 2020-05-06 |
1831710854 | Md Pain Care, P.C. | Anesthesiology | 333 Alcovy St Ste 3, Monroe, GA 30655-2180 | 2020-04-30 |
1295356210 | Md Pain Care, P.C. | Anesthesiology | 5109 Highway 278 Ne Ste C, Covington, GA 30014-2608 | 2020-04-30 |
1407475296 | Georgia Injury & Pain Specialists | Anesthesiology | 7001 Hodgson Memorial Dr Ste 5, Savannah, GA 31406-2549 | 2020-04-11 |
1023645629 | Nexus Pain Center of Lagrange LLC | Anesthesiology | 1075 Lafayette Pkwy Ste 230, Lagrange, GA 30241-3734 | 2020-03-24 |
1255820502 | Georgia Pain and Spine Solutions, PC | Anesthesiology | 76 Highland Pavilion Court, #133, Hiram, GA 30141-3170 | 2018-05-02 |
1336527191 | Palmetto Pain Management of Ga, LLC | Anesthesiology | 5745 Clarion St, Cumming, GA 30040-0305 | 2015-05-13 |
1033546999 | Pain Management Specialists of Atlanta P C | Anesthesiology | 616a S 8th St, Suite A, Griffin, GA 30224-4214 | 2013-10-08 |
1649615584 | Nj Medical Services PC | Anesthesiology | 1016 Thompson Bridge Rd, Gainesville, GA 30501-1704 | 2013-05-06 |
Find all providers with the same taxonomy |
City | STATESBORO |
Zip Code | 30458 |
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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.