ATLANTA SPINE AND ALTERNATIVE PAIN MANAGEMENT CENTER, LLC (NPI# 1275841215) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275841215 |
| Entity Type | Organization |
| Organization Name | ATLANTA SPINE AND ALTERNATIVE PAIN MANAGEMENT CENTER, LLC |
| Practice Address |
1938 Peachtree Rd Nw Suite 610 Atlanta GA 30309-1267 |
| Practice Telephone | 7703339405 |
| Mailing Telephone | 4043552728 |
| Mailing Fax Number | 4043552785 |
| Enumeration Date | 2010-09-23 |
| Last Update Date | 2011-03-23 |
| Authorized Official Name | ARTENA THOMAS (PRACTICE MANAGER) |
| Authorized Official Telephone | 4043552728 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
056454 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
1938 PEACHTREE RD NW SUITE 610 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30309-1267 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093709313 | Candace Mccullough Nichols | Pharmacist | 1938 Peachtree Rd Nw, Atlanta, GA 30309-1267 | 2005-08-31 |
| 1508242546 | Village Podiatry Group, LLC. | Internal Medicine | 1938 Peachtree Rd Nw, Ste. L-5, Atlanta, GA 30309-1267 | 2015-07-31 |
| 1346625506 | Christopher Harvey, Md, LLC | Obstetrics & Gynecology | 1938 Peachtree Rd Nw, Suite 407, Atlanta, GA 30309-1267 | 2015-07-29 |
| 1881035061 | Advanced Vascular Resources of Atlanta LLC | Internal Medicine | 1938 Peachtree Rd Nw, Suite L5, Atlanta, GA 30309-1267 | 2013-07-16 |
| 1174966675 | Thy Trinh | Pharmacist | 1938 Peachtree Rd Nw, Suite 205, Atlanta, GA 30309-1267 | 2013-04-15 |
| 1801140223 | Samantha Nowak | Physician Assistant | 1938 Peachtree Rd Nw, Suite 610, Atlanta, GA 30309-1267 | 2012-11-07 |
| 1265764302 | United Seating and Mobility | Durable Medical Equipment & Medical Supplies | 1938 Peachtree Rd Nw, Suite L3, Atlanta, GA 30309-1267 | 2010-01-30 |
| 1467699462 | Sue S O'kelley | Social Worker | 1938 Peachtree Rd Nw, Suite 107, Atlanta, GA 30309-1267 | 2009-01-13 |
| 1134248404 | Tommy L. Owens | Dentist | 1938 Peachtree Rd Nw, Suite 307, Atlanta, GA 30309-1267 | 2007-03-28 |
| 1811016181 | Marion W. Stafford | Dentist | 1938 Peachtree Rd Nw, Suite 307, Atlanta, GA 30309-1267 | 2007-03-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396382354 | Astoria Dentistry LLC | Dentist | 2233 Peachtree Rd. Nw, Suite 300, Atlanta, GA 30309 | 2019-12-09 |
| 1487133740 | S2 Telehealth Technologies, LLC | Psychiatry & Neurology | 915 W Peachtree St Nw Apt 522, Atlanta, GA 30309 | 2018-08-08 |
| 1841782620 | Janie Mardis | Social Worker | 3 Park Ln Ne, Apt H, Atlanta, GA 30309 | 2018-06-06 |
| 1083102842 | Veronica L Bentley | Specialist/Technologist, Other | 1170 Peachtree Street Suite 1200, Atlanta, GA 30309 | 2018-04-27 |
| 1427566363 | Net Medical Corp | Chiropractor | 1100 Spring St Sw, Ste#700, Atlanta, GA 30309 | 2018-01-12 |
| 1871000463 | Mary James (jamie) Johnson | Counselor | 1100 Spring Street, Suite 380, Atlanta, GA 30309 | 2018-01-04 |
| 1306377817 | Aliyah Lamis Scott | Social Worker | 1745 Peachtree Road Ne, Kaiser Permanente Brookwood Medical Office, Atlanta, GA 30309 | 2017-03-26 |
| 1013450774 | Caroline Hallen | Nurse Practitioner | 105 Collier Rd Nw Suite 3040, Atlanta, GA 30309 | 2016-11-29 |
| 1528501723 | Ant-aging Queen | Nutritionist | 1801 Atlanta Medical Clinic, Suite 250, Atlanta, GA 30309 | 2016-11-21 |
| 1790231439 | Nurse 2 Health Home Care LLC | Home Health | 1075 Peachtree Street Ne, Atlanta, GA 30309 | 2016-09-01 |
| Find all providers in zip 30309 | ||||
| Taxonomy Code | 2081P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pain Medicine |
| A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760900708 | Neuro Diagnostic Group LLC | Physical Medicine & Rehabilitation | 200 Galleria Pkwy Se Ste 100, Atlanta, GA 30339-5944 | 2017-08-30 |
| 1073812335 | Mikhail Zhukalin | Physical Medicine & Rehabilitation | 1648 Pierce Dr. Ne, Atlanta, GA 30307 | 2011-03-24 |
| 1669690723 | Injury Centers of Atlanta L.l.c | Physical Medicine & Rehabilitation | 4186 Buford Hwy Ne Ste F, Atlanta, GA 30345-1067 | 2007-04-23 |
| 1821113556 | Med Health Services LLC | Physical Medicine & Rehabilitation | 4780 Ashford Dunwoody Road, Ste A418, Atlanta, GA 30338-5504 | 2007-03-20 |
| 1659409860 | Vita Life Medical LLC | Physical Medicine & Rehabilitation | 2870 Peachtree Rd Ne, Ste 431, Atlanta, GA 30305 | 2007-03-01 |
| 1891796595 | Shane C Mangrum | Physical Medicine & Rehabilitation | 1150 Hammond Dr, Suite 400, Atlanta, GA 30328-5334 | 2005-08-03 |
| 1518568591 | Atlanta Spine, PC | Physical Medicine & Rehabilitation | 755 Mount Vernon Hwy Ne Ste 305, Atlanta, GA 30328-4290 | 2020-11-05 |
| 1629688114 | Prm of Georgia PC | Physical Medicine & Rehabilitation | 371 E Paces Ferry Rd Ne Ste 730, Atlanta, GA 30305-2372 | 2020-08-09 |
| 1316507775 | Atlanta Spine, PC | Physical Medicine & Rehabilitation | 60 Peachtree Park Dr Ne Ste 200, Atlanta, GA 30309-1304 | 2019-06-18 |
| 1295197036 | Chelsea Denise Frost | Physical Medicine & Rehabilitation | 59 Executive Park South Ne, Atlanta, GA 30329-2208 | 2016-03-22 |
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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.