SPINE AND ORTHOPEDICS OF ATLANTA, LLC


Address: 1462 Montreal Rd Ste 218, Tucker, GA 30084
Phone: 4702940863

SPINE AND ORTHOPEDICS OF ATLANTA, LLC (NPI# 1265802318) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1265802318
Entity Type Organization
Organization Name SPINE AND ORTHOPEDICS OF ATLANTA, LLC
Practice Address 1462 Montreal Rd Ste 218
Tucker
GA 30084
Mailing Address 1462 Montreal Rd Ste 218
Tucker
GA 30084-6931
Practice Telephone 4702940863
Practice Fax Number 4702940889
Enumeration Date 2015-10-01
Last Update Date 2018-09-06
Authorized Official Name DR. DAMIEN DOUTE (OWNER/PHYSICIAN)
Authorized Official Telephone 4704405848
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM2500X Clinic/Center
Specialization: Medical Specialty
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
GA 728513163A 05

Office Location

Street Address 1462 MONTREAL RD STE 218
City TUCKER
State GA
Zip Code 30084

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1609401355 Excellent Medical Transport Ambulance 4378 Sentry Dr, Tucker, GA 30084 2020-03-03
1811468796 Caleb Lee Ebbets Physical Therapist 1459 Montreal Road, Medical Office Building, Suite 301, Tucker, GA 30084 2018-12-17
1417436130 Benjamin Han Wook Chong Physical Therapist 1460 Montreal Road East, Suite 300, Tucker, GA 30084 2018-08-13
1336659325 Lavista Acupuncture and Herbal Medicine Acupuncturist 4915 Lavista Rd, Tucker, GA 30084 2017-10-04
1699294207 Debrica Butler Counselor 1021 Oak Chase Dr., Apt C, Tucker, GA 30084 2017-09-14
1295264695 Jolanta Wazgowska Hopkins Social Worker 4404 Idlewood Lane, Tucker, GA 30084 2017-06-08
1164956157 Sage Dental Group of Georgia LLC Dentist 4320 Lavista Rd, Suite C119, Tucker, GA 30084 2017-04-17
1689107807 Mashail Manzur Podiatrist 1460 Montreal Rd E, Ste 275, Tucker, GA 30084 2017-04-05
1053765578 Jessica Spruyt Speech-Language Pathologist 3756 Lavista Rd Suite 104, Tucker, GA 30084 2016-04-21
1396114674 Ashley Carrigan Behavioral Analyst 3786 Lavista Road, Suite 104, Tucker, GA 30084 2015-09-17
Find all providers in zip 30084

Taxonomy Information

Taxonomy Code 261QM2500X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Medical Specialty

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1710286414 Northlake Internal Medicine Clinic/Center 2175 Northlake Pkwy, St 142,bldg 4, Tucker, GA 30084-4163 2011-03-21
1962695866 Atlanta Gyn Center Clinic/Center 1922 Northlake Pkwy, Tucker, GA 30084-7009 2007-08-23

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1598376865 Deyoe Wellness Clinic/Center 47 Commerce Dr Ste 1b, Blairsville, GA 30512-8929 2020-08-11
1992331581 World Spine and Orthopedics LLC Clinic/Center 4296 Memorial Dr Ste C, Decatur, GA 30032-1227 2020-03-16
1619517968 Carroll Total Healthcare,pc Clinic/Center 410 Peachtree Pkwy Ste 4226, Cumming, GA 30041-7439 2020-01-14
1528601200 Blued Consultant Solutions, LLC Clinic/Center 256 Rainbow Ln, Mcdonough, GA 30252-4839 2019-10-24
1578113585 Centro Prenatal De Gwinnett LLC Clinic/Center 575 W Pike St Ste 1, Lawrenceville, GA 30046-7685 2019-09-12
1316508815 Atlanta Health Clinic LLC Clinic/Center 2480 Windy Hill Rd Se Ste 404, Marietta, GA 30067-8658 2019-06-25
1659880847 Jones Medical and Educational Consultants Clinic/Center 8954 Hospital Dr Bldg C, Douglasville, GA 30134-2200 2017-09-20
1477005593 Hirenirali LLC Clinic/Center 12390 Beragio Pl, Alpharetta, GA 30004-4188 2016-10-25
1851840961 Tele Doctor Direct Inc Clinic/Center 1250 Powers Ferry Cmn Se, Suite 100, Marietta, GA 30067-6046 2016-09-30
1154870533 Life Point Medical, LLC Clinic/Center 189 Bo James Street, Suite 105, Clayton, GA 30525 2016-09-27
Find all providers with the same taxonomy

Competitor

Search similar providers

City TUCKER
Zip Code 30084

Improve Information

Please comment or provide details below to improve the information on SPINE AND ORTHOPEDICS OF ATLANTA, LLC.

Dataset Information

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.

Trending Searches