INTERVENTIONAL SPINE AND PAIN MANAGEMENT CENTER, PC (NPI# 1407215262) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1407215262 |
Entity Type | Organization |
Organization Name | INTERVENTIONAL SPINE AND PAIN MANAGEMENT CENTER, PC |
Practice Address |
1295 Hembree Rd Suite 101 Roswell GA 30076-5721 |
Mailing Address |
3390 Peachtree Rd Ne Suite 1500 Atlanta GA 30326-1157 |
Practice Telephone | 7709299033 |
Mailing Telephone | 4049204950 |
Enumeration Date | 2016-02-22 |
Last Update Date | 2016-05-16 |
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 |
1326409566 | Interventional Spine and Pain Management Center, PC | Pain Medicine | 3885 Princeton Lakes Way Sw, Suite 225, Atlanta, GA 30331-5589 | 2016-03-16 |
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 |
Street Address |
1295 HEMBREE RD SUITE 101 |
City | ROSWELL |
State | GA |
Zip Code | 30076-5721 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467442590 | Brian Keith Howard | Plastic Surgery | 1295 Hembree Rd, Bldg. B, Suite 200, Roswell, GA 30076-5721 | 2005-10-28 |
1528339645 | The Graivier Center | Clinic/Center | 1295 Hembree Rd, Bldg. B, Suite 100, Roswell, GA 30076-5721 | 2012-01-20 |
1356672919 | Cpmsc Roswell, PC | Clinic/Center | 1295 Hembree Rd, Suite A-101, Roswell, GA 30076-5721 | 2010-01-21 |
1871746305 | Barry A. Koffler, M.d., P.C. | Specialist | 1295 Hembree Rd, Suite 200 A, Roswell, GA 30076-5721 | 2008-10-28 |
1083878714 | David L Wharton | Physician Assistant | 1295 Hembree Rd, Suite 101, Roswell, GA 30076-5721 | 2008-07-11 |
1386868883 | Lesa Mcconnell Griffin | Physical Therapist | 1295 Hembree Rd, Suite 201, Roswell, GA 30076-5721 | 2007-04-13 |
1992868236 | Melanie Marshall | Nurse Anesthetist, Certified Registered | 1295 Hembree Rd, Building B, Suite 100, Roswell, GA 30076-5721 | 2006-12-18 |
1922110428 | Mtizi Dee Morris | Dentist | 1295 Hembree Rd, Suite B-202, Roswell, GA 30076-5721 | 2006-08-31 |
1952362717 | Barry A Koffler | Orthopaedic Surgery | 1295 Hembree Rd, Suite 200a, Roswell, GA 30076-5721 | 2006-03-31 |
1407817554 | Miles H. Graivier | Plastic Surgery | 1295 Hembree Rd, Suite 100b, Roswell, GA 30076-5721 | 2006-03-29 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689275505 | Apex Spine and Neurosurgery LLC | Neurological Surgery | 1295 Hembree Rd Ste 200 Bldg B, Roswell, GA 30076 | 2020-11-06 |
1841776689 | Scott Gunter Brunson | Hearing Instrument Specialist | 777 Old Roswell Pl # E100, Roswell, GA 30076 | 2018-07-16 |
1861998197 | Daniel B Charek | Clinical Neuropsychologist | 11685 Alpharetta Hwy Ste 170, Roswell, GA 30076 | 2018-04-04 |
1427575554 | A One Home Care, Inc. | In Home Supportive Care | 1875 Old Alabama Road, Suite 420, Roswell, GA 30076 | 2017-08-29 |
1053836023 | Madelon Morgan | Counselor | 555 Sun Valley Dr Bldg F, Roswell, GA 30076 | 2017-08-10 |
1245769637 | Family Behavioral Health, LLC | Clinic/Center | 9275 Martin Rd, Roswell, GA 30076 | 2017-06-08 |
1093163750 | Ryann Soutar | Counselor | 702 Macy Dr, Roswell, GA 30076 | 2016-06-02 |
1447618707 | Concierge Medical Mgmt Group | Contractor | 760 Old Roswell Rd Ste 117, Roswell, GA 30076 | 2016-02-02 |
1063877710 | Augustine Young | Community/Behavioral Health | 427 Royal Creek Dr, Roswell, GA 30076 | 2015-12-23 |
1710360441 | Currents Massage LLC | Massage Therapist | 760 Old Roswell Road, Suite 230, Roswell, GA 30076 | 2015-06-30 |
Find all providers in zip 30076 |
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 |
---|---|---|---|---|
1104399674 | Federal Injury Center of Atlanta | Pain Medicine | 1600 Macy Dr, Roswell, GA 30076-6349 | 2019-01-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891302998 | Apollo Spine and Pain Center | Pain Medicine | 4415 Front Nine Dr, Cumming, GA 30041-6063 | 2020-09-23 |
1235756792 | Interventional Spine and Pain Management Center, PC | Pain Medicine | 2100 Central Ave Ste 6, Augusta, GA 30904-6709 | 2020-07-01 |
1902433147 | Sun Pain Institute LLC | Pain Medicine | 836 E 65th St Ste 38, Savannah, GA 31405-4495 | 2020-03-26 |
1679107338 | Atlanta Interventional Pain Management, LLC | Pain Medicine | 13190 Highway 92 Ste 120, Woodstock, GA 30188-4406 | 2020-03-02 |
1578193355 | Regenerative Spine and Pain Specialists | Pain Medicine | 874 Lanier Ave W Ste 250, Fayetteville, GA 30214-7662 | 2020-01-22 |
1437790839 | Specialty Spine and Pain, PC | Pain Medicine | 1498 Jesse Jewell Pkwy Se Ste D, Gainesville, GA 30501-3874 | 2019-10-07 |
1154962165 | Specialty Spine and Pain, PC | Pain Medicine | 2695 Old Winder Hwy Ste 150, Braselton, GA 30517-6076 | 2019-10-01 |
1659912665 | Specialty Spine and Pain, PC | Pain Medicine | 5005a Lanier Islands Pkwy Ste 100, Buford, GA 30518-1802 | 2019-10-01 |
1114578515 | Interventional Spine and Pain Management Center, PC | Pain Medicine | 6002 Highway 53 E Ste 110, Dawsonville, GA 30534-6227 | 2019-09-26 |
1477106771 | Spine Center of Southeast Georgia LLC | Pain Medicine | 52a Lindsey Lane, Kingsland, GA 31548-6855 | 2019-07-17 |
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.