PAIN AND SPINE SOLUTIONS, LLC (NPI# 1073850988) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073850988 |
| Entity Type | Organization |
| Organization Name | PAIN AND SPINE SOLUTIONS, LLC |
| Practice Address |
3974 Glen Park Drive Lithonia GA 30038 |
| Practice Telephone | 4044034567 |
| Practice Fax Number | 4049208185 |
| Mailing Telephone | 4044034567 |
| Mailing Fax Number | 4049208185 |
| Enumeration Date | 2013-01-11 |
| Last Update Date | 2013-01-11 |
| Authorized Official Name | DR. MARCUS POLK (ANESTHESIOLOGIST) |
| Authorized Official Telephone | 4044034567 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 040758 | GA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000820036S | 05 |
| Street Address |
3974 GLEN PARK DRIVE |
| City | LITHONIA |
| State | GA |
| Zip Code | 30038 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548814825 | Cynthia Thomas | Nurse's Aide | 5021 Chupp Way, Lithonia, GA 30038 | 2019-07-25 |
| 1558812131 | Fresenius Medical Care Redan, LLC | Clinic/Center | 8425 Mall Parkway, Lithonia, GA 30038 | 2016-10-19 |
| 1730637059 | Flora's Loving Hands | Psychologist | 4891 Eagles Ridge Loop, Lithonia, GA 30038 | 2016-09-15 |
| 1679921886 | Mercy Oyerinde | Nurse Practitioner | 4742 Lanten Court., Lithonia, GA 30038 | 2016-05-27 |
| 1982020996 | Dina Rebecca Smith | Counselor | 6474 Gina Agha Circle, Lithonia, GA 30038 | 2014-03-14 |
| 1164765889 | Kimberly A Weems | Home Health | 6694 Brownsmill Ferry Drive, Lithonia, GA 30038 | 2013-04-01 |
| 1629337514 | Fozi Ouse Adem | Pharmacist | 3140 Turner Hill Road, Lithonia, GA 30038 | 2012-05-11 |
| 1043579402 | Elizabeth Anne Berlin | Physician Assistant | 8825 Mall Parkway, Suite 150, Lithonia, GA 30038 | 2012-05-04 |
| 1730467911 | From Our Heart To Your Heart Personal Care Home | Custodial Care Facility | 4485 Idlewood Park, Lithonia, GA 30038 | 2011-07-22 |
| 1740442540 | Sechin Firmin | Dentist | 4616 Browns Mill Ln, Lithonia, GA 30038 | 2008-07-02 |
| Find all providers in zip 30038 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760752430 | Anesthesia Consultants of Georgia, LLC | Specialist | 3974 Glen Park Dr, Lithonia, GA 30038-3694 | 2012-01-11 |
| 1962681247 | Dante Craig Tobias Sr. | Specialist | 4007 Belmont Ridge Dr, Lithonia, GA 30038-4069 | 2007-11-02 |
| 1083804363 | Erica Monique Mattox | Specialist | 1450 Bentley Ridge Ct, Lithonia, GA 30058-5677 | 2007-08-01 |
| 1619000312 | Womens Healthcare and Aesthetics | Specialist | 5910 Hillandale Dr Ste 201, Lithonia, GA 30058-1878 | 2007-03-13 |
| 1124072608 | The Georgia Center for Total Cancer Care of Hillandale | Specialist | 2745 Dekalb Medical Pkwy, Suite 100, Lithonia, GA 30058 | 2006-05-20 |
| 1770547994 | Susan Shaw Reines | Specialist | 8011 Mall Parkway, Kaiser Permanente Stonecrest Medical Center, Lithonia, GA 30038 | 2006-04-14 |
| 1942278015 | Kwame V Connell | Specialist | 5900 Hillandale Dr Ste 330, Lithonia, GA 30058-3892 | 2006-03-14 |
| 1558342352 | Fiona A Blair | Specialist | 5910 Hillandale Dr, Suite 355, Lithonia, GA 30058-1884 | 2005-11-09 |
| 1780968115 | Premier Aesthetics | Specialist | 5404 Hillandale Park Ct, Lithonia, GA 30058-8803 | 2011-10-04 |
| 1588890487 | The Georgia Center for Total Cancer Care of Hillandale | Specialist | 2745 Dekalb Medical Pkwy, Suite 100, Lithonia, GA 30058 | 2009-06-05 |
| Find all providers in LITHONIA | ||||
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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.