REGENERATIVE SPINE AND PAIN SPECIALISTS


Address: 874 Lanier Ave W Ste 250, Fayetteville, GA 30214-7662
Phone: 4046180995

REGENERATIVE SPINE AND PAIN SPECIALISTS (NPI# 1578193355) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1578193355
Entity Type Organization
Organization Name REGENERATIVE SPINE AND PAIN SPECIALISTS
Practice Address 874 Lanier Ave W Ste 250
Fayetteville
GA 30214-7662
Mailing Address 918 Peachtree Battle Cir Nw
Atlanta
GA 30327-1322
Practice Telephone 4046180995
Enumeration Date 2020-01-22
Last Update Date 2020-07-01
Authorized Official Name ZWADE MARSHALL (OWNER)
Authorized Official Telephone 4046180995
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208VP0014X Pain Medicine
Specialization: Interventional Pain Medicine
Allopathic & Osteopathic Physicians

Office Location

Street Address 874 LANIER AVE W STE 250
City FAYETTEVILLE
State GA
Zip Code 30214-7662

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548872468 Phyllis Kelly Wood Nurse Practitioner 217 Banks Rd, Suite 31, Fayetteville, GA 30214 2020-08-21
1073139317 Tyisha Salter Scott Counselor 110 Habersham Drive, Suite 142, Fayetteville, GA 30214 2020-06-23
1194341412 Camille Franncine Bolton Physical Therapist 500 Floy Farr Parkway, Suite 303, Fayetteville, GA 30214 2020-06-23
1205465895 Gillian Vaughan Heard Physician Assistant 1275 Ga-54 #201, Fayetteville, GA 30214 2020-04-06
1881234557 Peach Fits,inc Mastectomy Fitter 285 Glynn Street South, Suites 102 and 104, Fayetteville, GA 30214 2020-01-10
1255981072 Delta Healthcare Providers Clinic/Center 1275 W Lanier Ave, #200, Fayetteville, GA 30214 2019-09-13
1861965592 Hierarchy for Wellness Specialist 805 S Glynn St Bldg 127 142, Fayetteville, GA 30214 2019-01-04
1356810634 Fayette Dental Group PC Clinic/Center 720 W Lanier Ave, Fayetteville, GA 30214 2018-11-16
1891263299 Mattie Mae Farmer Clark Specialist/Technologist, Other Piedmont Fayette Hospital, 1255 Highway 54 West, Fayetteville, GA 30214 2018-11-05
1093293607 Allyson Holland Pharmacist 880 Highway 85 South, Fayetteville, GA 30214 2018-08-06
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Taxonomy Information

Taxonomy Code 208VP0014X
Grouping Allopathic & Osteopathic Physicians
Classification Pain Medicine
Specialization Interventional Pain Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1295032407 Interventional Pain Specialists of Nwa, Pllc Pain Medicine 509 E Millsap Rd Ste 109, Fayetteville, AR 72703-4862 2011-02-24
1063628675 Southside Medical & Physical Therapy, LLC Pain Medicine 1415 Highway 85 N, Suite 310-314, Fayetteville, GA 30214-4035 2007-05-14
1104806702 Robert David Cannon Pain Medicine 3715 N Business Dr, Suite #101, Fayetteville, AR 72703-5204 2006-01-19

Providers in the same taxonomy and state

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
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
1467014936 Interventional Spine and Pain Management Center, PC Pain Medicine 6920 Mcginnis Ferry Rd Ste 360b, Suwanee, GA 30024-6672 2019-07-03
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Competitor

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City FAYETTEVILLE
Zip Code 30214

Improve Information

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Dataset Information

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.

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