DEKALB PAIN CENTER (NPI# 1407892417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407892417 |
| Entity Type | Organization |
| Organization Name | DEKALB PAIN CENTER |
| Practice Address |
2675 N Decatur Rd Suite 110 Decatur GA 30033-6131 |
| Mailing Address |
2171 W Park Ct Suite B Stone Mountain GA 30087-3555 |
| Practice Telephone | 4045015368 |
| Mailing Telephone | 6785141991 |
| Mailing Fax Number | 6785141993 |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | PAM DIDONATO (CODING/BILLING SPECIALIST) |
| Authorized Official Telephone | 6785142643 |
| Authorized Official Credential | CPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
GA | Allopathic & Osteopathic Physicians |
| Street Address |
2675 N DECATUR RD SUITE 110 |
| City | DECATUR |
| State | GA |
| Zip Code | 30033-6131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164423471 | Tonya Echols Cole | Specialist | 2675 N Decatur Rd, Suite G-03, Decatur, GA 30033-6131 | 2005-08-09 |
| 1609475227 | Olivia Ward | Pharmacist | 2675 N Decatur Rd, Decatur, GA 30033-6131 | 2020-10-23 |
| 1154920726 | Tiera Shanae Williams | Pharmacist | 2675 N Decatur Rd, Decatur, GA 30033-6131 | 2020-10-23 |
| 1104430859 | Victoria Phan | Pharmacist | 2675 N Decatur Rd, Decatur, GA 30033-6131 | 2020-09-01 |
| 1265884985 | Renzo P Gonzalez | Pharmacist | 2675 N Decatur Rd, Suite 101, Decatur, GA 30033-6131 | 2016-07-06 |
| 1033567847 | Amanda Singh | Physician Assistant | 2675 N Decatur Rd, Decatur, GA 30033-6131 | 2016-06-02 |
| 1033565106 | Kavia Chandra Kreitel | Advanced Practice Midwife | 2675 N Decatur Rd, Decatur, GA 30033-6131 | 2016-05-09 |
| 1154780914 | Interventional Spine and Pain Management Center, PC | Pain Medicine | 2675 N Decatur Rd, Suite 303, Decatur, GA 30033-6131 | 2016-02-22 |
| 1851756068 | Ddab, LLC | Nurse Anesthetist, Certified Registered | 2675 N Decatur Rd, Suite 506, Decatur, GA 30033-6131 | 2015-12-15 |
| 1619348158 | Olga Mason | Nurse Practitioner | 2675 N Decatur Rd, Suite 512, Decatur, GA 30033-6131 | 2015-10-09 |
| Find all providers in the same location | ||||
| 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 |
|---|---|---|---|---|
| 1336671379 | Impact Wellness Center | Pain Medicine | 1989 N Williamsburg Dr, Suite E, Decatur, GA 30033-5998 | 2017-03-29 |
| 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 |
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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.