INTERVENTIONAL SPINE AND PAIN MANAGEMENT CENTER, PC (NPI# 1326409566) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326409566 |
| Entity Type | Organization |
| Organization Name | INTERVENTIONAL SPINE AND PAIN MANAGEMENT CENTER, PC |
| Practice Address |
3885 Princeton Lakes Way Sw Suite 225 Atlanta GA 30331-5589 |
| Mailing Address |
3390 Peachtree Rd Ne Suite 1500 Atlanta GA 30326-1157 |
| Practice Telephone | 7709299033 |
| Mailing Telephone | 4049204950 |
| Enumeration Date | 2016-03-16 |
| Last Update Date | 2016-03-16 |
| Authorized Official Name | VICTORIA BECK (CFO) |
| Authorized Official Telephone | 4049204950 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235756792 | Interventional Spine and Pain Management Center, PC | Pain Medicine | 2100 Central Ave Ste 6, Augusta, GA 30904-6709 | 2020-07-01 |
| 1114578515 | Interventional Spine and Pain Management Center, PC | Pain Medicine | 6002 Highway 53 E Ste 110, Dawsonville, GA 30534-6227 | 2019-09-26 |
| 1467014936 | Interventional Spine and Pain Management Center, PC | Pain Medicine | 6920 Mcginnis Ferry Rd Ste 360b, Suwanee, GA 30024-6672 | 2019-07-03 |
| 1265892293 | Interventional Spine and Pain Management Center, PC | Pain Medicine | 6002 Hwy 52 East, Suite 110, Dawsonville, GA 30534 | 2016-03-03 |
| 1083212963 | Interventional Spine and Pain Management Center, PC | Pain Medicine | 1975 Highway 54 W Ste 100, Peachtree City, GA 30269-4794 | 2020-10-13 |
| 1598127540 | Interventional Spine and Pain Management Center, PC | Pain Medicine | 3885 Princeton Lakes Way Sw, Atlanta, GA 30331-5589 | 2016-03-28 |
| 1972963635 | Interventional Spine and Pain Management Center, PC | Pain Medicine | 5303 Adams St Ne, Suite B, Covington, GA 30014-6208 | 2016-02-24 |
| 1669831327 | Interventional Spine and Pain Management Center, PC | Pain Medicine | 812 S Park St, Suite 5b, Carrollton, GA 30117-4412 | 2016-02-23 |
| 1154780914 | Interventional Spine and Pain Management Center, PC | Pain Medicine | 2675 N Decatur Rd, Suite 303, Decatur, GA 30033-6131 | 2016-02-22 |
| 1407215262 | Interventional Spine and Pain Management Center, PC | Pain Medicine | 1295 Hembree Rd, Suite 101, Roswell, GA 30076-5721 | 2016-02-22 |
| Street Address |
3885 PRINCETON LAKES WAY SW SUITE 225 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30331-5589 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811989478 | Lisa C Perry-gilkes | Otolaryngology | 3885 Princeton Lakes Way Sw, Suite 312a, Atlanta, GA 30331-5589 | 2005-08-19 |
| 1861933178 | Southwest Atlanta Vascular Care, LLC | Radiology | 3885 Princeton Lakes Way Sw, Suite 314, Atlanta, GA 30331-5589 | 2017-03-20 |
| 1598127540 | Interventional Spine and Pain Management Center, PC | Pain Medicine | 3885 Princeton Lakes Way Sw, Atlanta, GA 30331-5589 | 2016-03-28 |
| 1811357080 | S.val Plastic Surgery P.C. | Plastic Surgery | 3885 Princeton Lakes Way Sw, Suite 312, Atlanta, GA 30331-5589 | 2016-03-02 |
| 1366841744 | Southern Crescent Physicians Group, Inc | Psychiatry & Neurology | 3885 Princeton Lakes Way Sw, Atlanta, GA 30331-5589 | 2014-08-21 |
| 1205267192 | Wellstar Medical Group, LLC | Internal Medicine | 3885 Princeton Lakes Way Sw, Suite 300, Atlanta, GA 30331-5589 | 2013-12-03 |
| 1942548870 | Ispm Asc At Camp Creek LLC | Clinic/Center | 3885 Princeton Lakes Way Sw, Ste 400, Atlanta, GA 30331-5589 | 2013-01-28 |
| 1447594106 | Ispm Asc At Camp Creek LLC | Clinic/Center | 3885 Princeton Lakes Way Sw, Suite 400, Atlanta, GA 30331-5589 | 2012-11-19 |
| 1356685390 | Camp Creek LLC | Specialist | 3885 Princeton Lakes Way Sw, Ste 400, Atlanta, GA 30331-5589 | 2012-11-15 |
| 1518236645 | Princeton Lakes Pediatrics, LLC | Pediatrics | 3885 Princeton Lakes Way Sw, Suite 302, Atlanta, GA 30331-5589 | 2011-12-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861001174 | Whitney Flemister | Social Worker | 3961 Princeton Lakes Way Sw, Atlanta, GA 30331 | 2020-07-23 |
| 1982237400 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 5829 Campbellton Road, S.w, Suite 110, Atlanta, GA 30331 | 2020-02-13 |
| 1295375558 | Drusilla Precious Cudjoe | Behavior Technician | 3800 Camp Creek Parkway Sw, Building 1400, Atlanta, GA 30331 | 2020-01-14 |
| 1497262778 | Champions Pharmacy | Pharmacy | 3886 Princeton Lakes Way Suite 180, Atlanta, GA 30331 | 2018-01-08 |
| 1033629779 | Carmen Ardoin | Counselor | 2636 Martin Luther King Jr. Drive, Suite 12, Atlanta, GA 30331 | 2017-10-09 |
| 1346759974 | Neva R Allison | Nurse Practitioner | 2611 Dayview Ln, Atlanta, GA 30331 | 2017-09-26 |
| 1538678255 | Natalie Mckay | Technician/Technologist | 3915 Cascade Rd, 220, Atlanta, GA 30331 | 2017-09-26 |
| 1700304268 | Tyrone Pipkin | Contractor | 415 Kendrick Terrace Sw, Atlanta, GA 30331 | 2017-09-05 |
| 1073031688 | Kristen Wooldridge | Pharmacist | 3695 Cascade Road, Atlanta, GA 30331 | 2017-09-04 |
| 1548704687 | Advance Pain Management | Health Maintenance Organization | 2950 Stone Hogan Road Connector, Atlanta, GA 30331 | 2016-12-08 |
| Find all providers in zip 30331 | ||||
| Taxonomy Code | 208VP0014X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Interventional Pain Medicine |
| Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225088198 | Jignesh N Gandhi | Pain Medicine | 1800 Peachtree St Ne, Suite 400, Atlanta, GA 30309-1476 | 2006-05-11 |
| 1942250865 | Pain Consultants of Atlanta LLC | Pain Medicine | 1800 Peachtree St Nw Ste 750, Atlanta, GA 30309-2530 | 2006-05-11 |
| 1558310110 | Chad Michael Achilles | Pain Medicine | 1800 Peachtree Rd, Suite 400, Atlanta, GA 30309-1476 | 2006-05-09 |
| 1801845409 | Allen Henry Hord | Pain Medicine | 3161 Howell Mill Rd, Ste 310, Atlanta, GA 30327 | 2006-05-09 |
| 1447775242 | Elite Sport & Personal Injury Centers of Atlanta LLC | Pain Medicine | 67 Peachtree Park Dr Ne, Atlanta, GA 30309-1370 | 2017-08-14 |
| 1598127540 | Interventional Spine and Pain Management Center, PC | Pain Medicine | 3885 Princeton Lakes Way Sw, Atlanta, GA 30331-5589 | 2016-03-28 |
| 1457718793 | Interventional Spine and Pain Management Center, PC | Pain Medicine | 2061 Peachtree Rd Ne, Suite 225, Atlanta, GA 30309-1447 | 2016-01-18 |
| 1376715995 | Piedmont Pain Consultants, P.C. | Pain Medicine | 3200 Downwood Cir Nw, Suite 550, Atlanta, GA 30327-1610 | 2008-03-25 |
| 1518174457 | Naureen Majid Adam | Pain Medicine | 2061 Peachtree Rd Ne, Ste 225, Atlanta, GA 30309-1427 | 2007-05-17 |
| 1346274461 | Christopher D Taylor | Pain Medicine | 5555 Peachtree Dunwoody Rd, Ste G99, Atlanta, GA 30342-1703 | 2006-07-11 |
| Find all providers in ATLANTA | ||||
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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.