GEORGIA INTERVENTIONAL PAIN - E, LLC (NPI# 1194283267) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194283267 |
| Entity Type | Organization |
| Organization Name | GEORGIA INTERVENTIONAL PAIN - E, LLC |
| Practice Address |
100 Liberty Blvd Ste 220 Canton GA 30114-2852 |
| Mailing Address |
455 Philip Blvd Ste 138 Lawrenceville GA 30046-8768 |
| Practice Telephone | 7709623642 |
| Practice Fax Number | 7709623643 |
| Mailing Telephone | 7709623642 |
| Mailing Fax Number | 7709623643 |
| Enumeration Date | 2019-03-07 |
| Last Update Date | 2020-03-09 |
| Authorized Official Name | DR. AMIT PATEL (CEO) |
| 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 |
100 LIBERTY BLVD STE 220 |
| City | CANTON |
| State | GA |
| Zip Code | 30114-2852 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619516093 | Wickshire Canton Opco LLC | Assisted Living Facility | 125 Riverstone Terrace, Canton, GA 30114 | 2020-01-02 |
| 1154803583 | Alixandra Nicole Flournoy | Physical Therapist | 131 Holly Street, Canton, GA 30114 | 2018-09-01 |
| 1588157341 | Provident Group - Canton Cove Properties LLC | Alzheimer Center (Dementia Center) | 1100 Reinhardt College Parkway, Canton, GA 30114 | 2018-06-07 |
| 1003233107 | Heartland Dental Care of Georgia | Dentist | 3237 Sixes Rd, Canton, GA 30114 | 2014-03-26 |
| 1730510959 | Joseph Optical | Eyewear Supplier (Equipment, not the service) | 1455 Riverstone Pkwy Suite 110, Canton, GA 30114 | 2013-12-13 |
| 1629313036 | Ramona Morton Rasmussen | Occupational Therapist | 200 Riverstone Drive, Suite B, Canton, GA 30114 | 2012-12-11 |
| 1902154875 | Yong Qiao Luo | Acupuncturist | 200 Oakside Lane, Suite D, Canton, GA 30114 | 2012-08-26 |
| 1215294350 | Christina Lynn Hernandez | Pediatrics | 1558 Riverstone Pkwy Ste 100, Canton, GA 30114 | 2012-04-13 |
| 1558638981 | Stephen E Byrd | Counselor | 191 Lamar Haley Pkwy., Canton, GA 30114 | 2011-11-30 |
| 1073807855 | Sheri Sullins Buckley | Nurse Practitioner | 120 Oakside Ct Ste H, Canton, GA 30114 | 2011-06-08 |
| Find all providers in zip 30114 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679049647 | Uh Canton Endoscopy LLC | Clinic/Center | 3722 Dressler Rd Nw Ste B, Canton, OH 44718-2700 | 2018-10-17 |
| 1023373628 | Eyes On Stark Surgery Center, LLC | Clinic/Center | 4319 Executive Circle Nw, Canton, OH 44718 | 2012-07-10 |
| 1336143171 | The Surgery Center of Georgia, LLC | Clinic/Center | 220 Hospital Rd, Canton, GA 30114-2407 | 2005-06-09 |
| 1720081870 | Orthopaedic Ambulatory Surgical Intervention Services, LLC | Clinic/Center | 4889 Munson St Nw, Canton, OH 44718-3614 | 2005-05-23 |
| 1386189934 | Gsi Canton LLC | Clinic/Center | 2726 Fulton Dr Nw, Canton, OH 44718-3506 | 2017-01-05 |
| 1225457948 | Ahs Surgery Center Canton LLC | Clinic/Center | 201 Kimberly Way, Suite 100, Canton, GA 30114 | 2014-04-09 |
| 1992122329 | Canton Eye Surgery Center | Clinic/Center | 201 Kimberly Way, Canton, GA 30114 | 2014-03-24 |
| 1952737207 | Cpmsc Canton, LLC | Clinic/Center | 134 Riverstone Terrace, Suite 102, Canton, GA 30114 | 2013-09-18 |
| 1396096020 | Global Ambulatory Surgical Center, LLC | Clinic/Center | 3120 Parkway St Nw, Canton, OH 44708-3981 | 2012-09-20 |
| 1962713339 | St Joseph Mercy Hospital | Clinic/Center | 1600 S Canton Center Rd, St Joseph Mercy Canton Health Center, Amb Surgery, Canton, MI 48188-1992 | 2010-06-30 |
| Find all providers in CANTON | ||||
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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.