SPECIALTY SPINE INTERVENTION CENTER (NPI# 1295834976) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1295834976 |
Entity Type | Organization |
Organization Name | SPECIALTY SPINE INTERVENTION CENTER |
Practice Address |
1240 Jesse Jewell Pkwy Se Ste 300 Gainesville GA 30501-3862 |
Practice Telephone | 7702977277 |
Mailing Telephone | 7702977277 |
Enumeration Date | 2006-09-21 |
Last Update Date | 2020-08-22 |
Authorized Official Name | ANNETTE SLOAN (ADMINISTRATOR) |
Authorized Official Telephone | 7702977277 |
Authorized Official Credential | RN,FACMPE,CPC |
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 |
1240 JESSE JEWELL PKWY SE STE 300 |
City | GAINESVILLE |
State | GA |
Zip Code | 30501-3862 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609879881 | C. Shane Bussler | Internal Medicine | 1240 Jesse Jewell Pkwy Se, Ste 500, Gainesville, GA 30501-3861 | 2005-05-23 |
1346780251 | Ashley Wilkins | Physician Assistant | 1240 Jesse Jewell Pkwy Se, Gainesville, GA 30501-3862 | 2017-02-27 |
1962948422 | Charlsie A Thomas | Physician Assistant | 1240 Jesse Jewell Pkwy Se, Suite 500, Gainesville, GA 30501-3862 | 2017-01-09 |
1780128272 | Lauren H Darnell | Nurse Practitioner | 1240 Jesse Jewell Pkwy Se, Suite 500, Gainesville, GA 30501-3862 | 2016-12-19 |
1912452061 | Kristina Stefanova James | Nurse Practitioner | 1240 Jesse Jewell Pkwy Se, Suite 400, Gainesville, GA 30501-3862 | 2016-08-18 |
1124486238 | Brandon Lee Morrow | Physician Assistant | 1240 Jesse Jewell Pkwy Se, Ste 300, Gainesville, GA 30501-3862 | 2016-02-03 |
1427413962 | Sherry Hope Flanagan | Nurse Practitioner | 1240 Jesse Jewell Pkwy Se, Suite 500, Gainesville, GA 30501-3862 | 2015-12-29 |
1457757593 | Colleen Mccoy | Physician Assistant | 1240 Jesse Jewell Pkwy Se, Gainesville, GA 30501 | 2014-11-18 |
1689009953 | Ernie Loza Aldaco | Registered Nurse | 1240 Jesse Jewell Pkwy Se, Suite 300, Gainesville, GA 30501-3862 | 2013-09-05 |
1871838375 | Laura J Johansen | Physical Therapist | 1240 Jesse Jewell Pkwy Se, Suite 500, Gainesville, GA 30501-3862 | 2012-12-10 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437782851 | Madison Raye Huth | Physician Assistant | 743 Spring Street Se, Gainesville, GA 30501 | 2020-02-13 |
1205487659 | Grace M Walker Brown | Nurse Practitioner | 592 Medical Park Dr., Suite A, Gainesville, GA 30501 | 2019-09-26 |
1174086987 | Nayab Ahmed | Student in an Organized Health Care Education/Training Program | 743 Spring Street, Suite 710, Gainesville, GA 30501 | 2019-04-09 |
1154881118 | Ryan D Berry | Student in an Organized Health Care Education/Training Program | 734 Spring St Se Ste 710, Gainesville, GA 30501 | 2019-03-24 |
1609336304 | Harper E Niver | Student in an Organized Health Care Education/Training Program | 743 Spring St., Suite 710, Gainesville, GA 30501 | 2019-03-20 |
1508336173 | Bradee Burrell Aderholt | Nurse Practitioner | 663 Lanier Park Drive, Gainesville, GA 30501 | 2018-11-27 |
1578068359 | Soammy Liz Matias | Chiropractor | 961 Green Street, Gainesville, GA 30501 | 2018-03-26 |
1811496896 | Matthew Brown | Speech-Language Pathologist | 500 Spring St. Se Suite 101, Gainesville, GA 30501 | 2018-02-06 |
1346769825 | Dr. Skeete & Associates of North Georgia, P.C. | Optometrist | 150 Pearl Nix Parkway, Suite D3a, Gainesville, GA 30501 | 2017-09-15 |
1932624723 | M & B Imaging, PC | Radiology | 1640 Jesse Jewell Pkwy Se Ste 2, Gainesville, GA 30501 | 2017-08-14 |
Find all providers in zip 30501 |
Taxonomy Code | 261QA1903X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Ambulatory Surgical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447491139 | William Albert Cates Greene Jr. | Clinic/Center | 2320 Limestone Pkwy, Gainesville, GA 30501-2087 | 2009-03-10 |
1093842270 | North Georgia Eye Surgery Center | Clinic/Center | 1485 Jesse Jewell Parkway, Suite 100, Gainesville, GA 30501 | 2007-02-27 |
1457425159 | Lakeshore Tubal Reversal Center | Clinic/Center | 2320 Limestone Parkway, Gainesville, GA 30501 | 2006-11-17 |
1023039385 | Northeast Georgia Plastic Surgery Associates, Plastic Surgery Center | Clinic/Center | 1296 Sims St, Suite B, Gainesville, GA 30501-3850 | 2006-07-22 |
1831116698 | Laser and Outpatient Surgery Center LLC | Clinic/Center | 6925 Nw 11th Pl, Gainesville, FL 32605-3101 | 2006-07-17 |
1215993100 | Gainesville Surg Ctr Lp | Clinic/Center | 1945 Beverly Rd, Gainesville, GA 30501-2034 | 2006-04-21 |
1790752061 | North Florida Regional Freestanding Surgery Center Lp | Clinic/Center | 6705 Nw 10th Pl, Gainesville, FL 32605-4212 | 2006-03-04 |
1083689749 | Gainesville Fl Orthopaedic Asc LLC | Clinic/Center | 4600 W Newberry Rd, Gainesville, FL 32607-2247 | 2006-02-17 |
1982186425 | Center for Spine & Pain Medicine PC | Clinic/Center | 715 Queen City Pkwy Ste 106, Gainesville, GA 30501-4335 | 2018-08-31 |
1326494147 | Center for Spine & Pain Medicine PC | Clinic/Center | 1016 Thompson Bridge Rd, Gainesville, GA 30501-1704 | 2016-05-11 |
Find all providers in GAINESVILLE |
City | GAINESVILLE |
Zip Code | 30501 |
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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.