CENTER FOR SPINE & PAIN MEDICINE PC (NPI# 1457869265) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457869265 |
| Entity Type | Organization |
| Organization Name | CENTER FOR SPINE & PAIN MEDICINE PC |
| Practice Address |
3625 Braselton Hwy Ste 201 Dacula GA 30019-4695 |
| Mailing Address |
1413 Chattanooga Ave Dalton GA 30720-2631 |
| Practice Telephone | 6784501222 |
| Enumeration Date | 2018-01-15 |
| Last Update Date | 2018-01-15 |
| Authorized Official Name | SADIQ SOHANI (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 7062792635 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639515927 | Center for Spine & Pain Medicine PC | Durable Medical Equipment & Medical Supplies | 7446 Shallowford Rd Ste 110, Chattanooga, TN 37421-2352 | 2013-05-14 |
| 1982186425 | Center for Spine & Pain Medicine PC | Clinic/Center | 715 Queen City Pkwy Ste 106, Gainesville, GA 30501-4335 | 2018-08-31 |
| 1699283473 | Center for Spine & Pain Medicine PC | Durable Medical Equipment & Medical Supplies | 715 Queen City Pkwy Ste 106, Gainesville, GA 30501-4335 | 2018-01-16 |
| 1124536909 | Center for Spine & Pain Medicine PC | Durable Medical Equipment & Medical Supplies | 1413 Chattanooga Ave, Dalton, GA 30720-2631 | 2018-01-16 |
| 1679081483 | Center for Spine & Pain Medicine PC | Durable Medical Equipment & Medical Supplies | 185 Professional Ct Se, Calhoun, GA 30701-7030 | 2018-01-15 |
| 1326494147 | Center for Spine & Pain Medicine PC | Clinic/Center | 1016 Thompson Bridge Rd, Gainesville, GA 30501-1704 | 2016-05-11 |
| 1952336133 | Center for Spine & Pain Medicine PC | Clinical Medical Laboratory | 1413 Chattanooga Ave, Dalton, GA 30720-2631 | 2006-07-12 |
| Street Address |
3625 BRASELTON HWY STE 201 |
| City | DACULA |
| State | GA |
| Zip Code | 30019-4695 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326453796 | Emily Miyuki Kurokawa | Anesthesiology | 3625 Braselton Hwy Ste 201, Dacula, GA 30019-4695 | 2014-06-24 |
| 1811515554 | Ace Pain and Spine LLC | Clinic/Center | 3625 Braselton Hwy Ste 201, Dacula, GA 30019-4695 | 2020-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780228171 | Mackenson Lafortune | Physical Therapy Assistant | 1424 Filigree Pl, Dacula, GA 30019 | 2019-10-29 |
| 1780167452 | Adenike Alaga | Registered Nurse | 3196 Dolostone Way, Dacula, GA 30019 | 2018-09-10 |
| 1780160580 | Cielitha Ruffin | Nurse Practitioner | 1223 Bentley Estates Dr., Dacula, GA 30019 | 2018-07-15 |
| 1386135663 | Anke Mbapeh | Nurse Practitioner | 2100 Browning Bend Ct, Dacula, GA 30019 | 2018-05-23 |
| 1053820282 | Ethan Zachariah Merrow | Student in an Organized Health Care Education/Training Program | 1701 Mulberry Lake Drive, Dacula, GA 30019 | 2017-09-20 |
| 1043737547 | Dawn Hedley | Dietitian, Registered | 3567 Vern Way, Dacula, GA 30019 | 2017-08-25 |
| 1831545367 | Angela Owusu-edusei | Nurse Practitioner | 3226 Dolostone Way, Dacula, GA 30019 | 2016-05-13 |
| 1528458718 | Philomena Gyamfi | Registered Nurse | 1088 Milford Ln, Dacula, GA 30019 | 2015-01-27 |
| 1417375247 | Casey Goldman Sommerfeld | Pediatrics | 2240 Hamilton Creek Pkwy Ste 600, Dacula, GA 30019 | 2014-03-29 |
| 1417398215 | Samia Tahil | Home Health | 2821 Spence Ct, Dacula, GA 30019 | 2013-07-10 |
| Find all providers in zip 30019 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740810407 | Nupath Medical LLC | Durable Medical Equipment & Medical Supplies | 2098 Town Manor Ct, Dacula, GA 30019-3247 | 2020-01-22 |
| 1679126445 | Blue Genesis Holdings LLC | Durable Medical Equipment & Medical Supplies | 2013 Weatherby Way Ct, Dacula, GA 30019-7769 | 2019-07-22 |
| 1982908687 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 505 Dacula Rd, Dacula, GA 30019-2125 | 2011-01-10 |
| 1134377336 | N.e.a Healthcare | Durable Medical Equipment & Medical Supplies | 2525 Sanjo St, Dacula, GA 30019-2320 | 2008-09-03 |
| 1437314556 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 575 Dacula Rd, Dacula, GA 30019-2125 | 2008-07-29 |
| 1073796561 | Publix Super Markets Inc | Durable Medical Equipment & Medical Supplies | 831 Auburn Rd, Dacula, GA 30019-5434 | 2007-12-07 |
| 1437250271 | Eckerd Corporation | Durable Medical Equipment & Medical Supplies | 2580 Winder Highway, Dacula, GA 30019-1328 | 2006-09-26 |
| 1609975887 | Eckerd Corporation | Durable Medical Equipment & Medical Supplies | 1941 Auburn Road, Dacula, GA 30019-1156 | 2006-09-22 |
| 1538266028 | Georgia Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 3027 Jim Moore Rd, Dacula, GA 30019 | 2006-09-19 |
| 1376577114 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 2700 Braselton Hwy, Dacula, GA 30019-3262 | 2006-07-10 |
| Find all providers in DACULA | ||||
Please comment or provide details below to improve the information on CENTER FOR SPINE & PAIN MEDICINE PC.
| 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.