IMPACT WELLNESS CENTER (NPI# 1336671379) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336671379 |
| Entity Type | Organization |
| Organization Name | IMPACT WELLNESS CENTER |
| Practice Address |
1989 N Williamsburg Dr Suite E Decatur GA 30033-5998 |
| Practice Telephone | 6787179299 |
| Practice Fax Number | 4044928885 |
| Mailing Telephone | 6787179299 |
| Mailing Fax Number | 4044928885 |
| Enumeration Date | 2017-03-29 |
| Last Update Date | 2017-03-29 |
| Authorized Official Name | DR. TEFYLON CAMERON (ADMINISTRATIVE MANAGER) |
| Authorized Official Telephone | 6787179299 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
GA050322 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
1989 N WILLIAMSBURG DR SUITE E |
| City | DECATUR |
| State | GA |
| Zip Code | 30033-5998 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023189206 | Mary Lynn Crews | Dentist | 1989 N Williamsburg Dr, Suite A, Decatur, GA 30033-3509 | 2006-11-10 |
| 1306335203 | Epic Wellcare, LLC | Orthopaedic Surgery | 1989 N Williamsburg Dr, Decatur, GA 30033-5998 | 2018-05-07 |
| 1962938639 | Deborah Simms | Massage Therapist | 1989 N Williamsburg Dr, Suite D, Decatur, GA 30033-5998 | 2017-05-02 |
| 1700159126 | Link Wellness Centers LLC | Orthopaedic Surgery | 1989 N Williamsburg Dr, Suite F, Decatur, GA 30033-5998 | 2012-02-15 |
| 1366609232 | Clairmont Chiropractic Associates, Inc. | Chiropractor | 1989 N Williamsburg Dr, Suite D, Decatur, GA 30033-3509 | 2008-05-19 |
| 1669689899 | Robert Alexander Burns Jr. | Dentist | 1989 N Williamsburg Dr, Suite G, Decatur, GA 30033-3509 | 2007-05-17 |
| 1285787994 | Tefylon Velvette Cameron | Chiropractor | 1989 N Williamsburg Dr, Suite F, Decatur, GA 30033-5998 | 2007-01-18 |
| 1558412387 | Suzanne Justice Carr | Psychologist | 1989 N Williamsburg Dr, Suite I, Decatur, GA 30033-3509 | 2007-01-16 |
| 1659428381 | Leonard Keiffer Monteith | Chiropractor | 1989 N Williamsburg Dr, Suite D, Decatur, GA 30033-3509 | 2007-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922613785 | Healing Minds, Helping Hearts, LLC | Social Worker | 2532 N Decatur Rd, Apt 1304, Decatur, GA 30033 | 2020-09-09 |
| 1700412517 | Delana Finney | Orthotist | Vamc - Atlanta, 1670 Clairmont Rd, Decatur, GA 30033 | 2020-03-13 |
| 1194389353 | Katherine Serafen | Physician Assistant | 2701 N Decatur Road, Ground Floor Suite 520, Decatur, GA 30033 | 2019-04-23 |
| 1194290973 | Suzanne Johnson | Psychologist | Atlanta Va Health Care System, 1670 Clairmont Rd, Decatur, GA 30033 | 2018-10-09 |
| 1245705334 | Mcleod Counseling Services, LLC | Clinic/Center | 2801 N. Decatur Rd, Suite 185, Decatur, GA 30033 | 2018-10-04 |
| 1225514797 | Erkin Mirkhatovich Turganov | Pharmacist | 2951 Cedar Brook Dr, Decatur, GA 30033 | 2018-07-17 |
| 1356834972 | Sharlencia Lord | Nurse Practitioner | 2738 N Decatur Rd # 292-3173, Decatur, GA 30033 | 2018-06-08 |
| 1194213140 | Zacarias Yanis Jr. | Clinical Neuropsychologist | 1276 Mcconnell Drive Ste C., Decatur, GA 30033 | 2018-04-25 |
| 1780181370 | Ryan Patton | Orthopaedic Surgery | 2723 Hollywood Dr, Decatur, GA 30033 | 2018-04-10 |
| 1437669751 | Sholanda D Hooper | Nurse Practitioner | 1601 Clairmont Rd, Decatur, GA 30033 | 2017-10-02 |
| Find all providers in zip 30033 | ||||
| Taxonomy Code | 208VP0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Pain Medicine |
| Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient’s pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies. |
| Notes: Source: American Academy of Pain Medicine, www.painmed.org - Additional Resources:The American Board of Pain Medicine provides Board Certification. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407892417 | Dekalb Pain Center | Pain Medicine | 2675 N Decatur Rd, Suite 110, Decatur, GA 30033-6131 | 2006-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821616830 | Georgia Pain and Wellness Center, LLC | Pain Medicine | 1357 Hembree Rd Ste 220, Roswell, GA 30076-5722 | 2020-07-07 |
| 1902424914 | Georgia Pain and Wellness Center, LLC | Pain Medicine | 1504 N Thornton Ave Ste 103, Dalton, GA 30720-8394 | 2020-07-07 |
| 1144865528 | Lionel Terry Johnson | Pain Medicine | 5825 Glenridge Dr Ste 2-212, Atlanta, GA 30328-5394 | 2019-11-09 |
| 1750931168 | Georgia Pain and Wellness Center, LLC | Pain Medicine | 100 Liberty Blvd Ste 210, Canton, GA 30114-2852 | 2019-09-17 |
| 1639637762 | Tmc Tanner Pain Management Inc | Pain Medicine | 150 Henry Burson Ave Ste 110, Carrollton, GA 30117-4408 | 2019-03-07 |
| 1811454820 | Healthmed Interventional Pain Management | Pain Medicine | 4535 Winters Chapel Rd Ste B, Doraville, GA 30360-2705 | 2019-02-26 |
| 1639641384 | Spine Center Atlanta North, LLC | Pain Medicine | 3540 Duluth Park Ln Ste 120, Duluth, GA 30096-3200 | 2018-12-19 |
| 1144707001 | Thrive Medical Partners LLC | Pain Medicine | 1498 Jesse Jewell Pkwy Se Ste A, Gainesville, GA 30501-3874 | 2018-07-24 |
| 1861909533 | Comprehensive Spine & Pain LLC | Pain Medicine | 939 Bob Arnold Blvd Ste G, Lithia Springs, GA 30122-3258 | 2018-01-04 |
| 1194274001 | Spine Center Atlanta East, LLC | Pain Medicine | 1309 Wellbrook Cir., Ste H, Conyers, GA 30012-3873 | 2016-10-04 |
| Find all providers with the same taxonomy | ||||
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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.