INJURY CENTERS OF ATLANTA L.L.C (NPI# 1669690723) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669690723 |
| Entity Type | Organization |
| Organization Name | INJURY CENTERS OF ATLANTA L.L.C |
| Practice Address |
4186 Buford Hwy Ne Ste F Atlanta GA 30345-1067 |
| Mailing Address |
2566 Shallowford Rd Ne Ste 104-308 Atlanta GA 30345-1202 |
| Practice Telephone | 4046386060 |
| Mailing Telephone | 4046386060 |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. PHILLIP DANG (PRESIDENT) |
| Authorized Official Telephone | 4046386060 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
038164-1994 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
4186 BUFORD HWY NE STE F |
| City | ATLANTA |
| State | GA |
| Zip Code | 30345-1067 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558530014 | Deana Holder | Specialist/Technologist | 4186 Buford Hwy Ne Ste F, Atlanta, GA 30345-1067 | 2008-02-28 |
| 1326237686 | Phillip Long Dang D.c.p.c. | Chiropractor | 4186 Buford Hwy Ne Ste F, Atlanta, GA 30345-1067 | 2007-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306358726 | Marian Barton Kalvert | Counselor | 2300 Henderson Mill Rd Ne Ste 310, Atlanta, GA 30345 | 2017-10-25 |
| 1417478439 | Reexist Counseling LLC | Clinic/Center | 1955 Vance Drive Ne, Atlanta, GA 30345 | 2017-06-29 |
| 1366862930 | Creative Behavior Consulting | Counselor | 6212 Northlake Circle Ne, Atlanta, GA 30345 | 2014-04-22 |
| 1215375209 | Shakeia Cowan | Counselor | 2302 Parklake Drive, Suite 350, Atlanta, GA 30345 | 2013-06-12 |
| 1154673259 | Phyllis Carrera | Counselor | 1788-b Century Blvd, Atlanta, GA 30345 | 2012-10-12 |
| 1417216128 | Procare Pharmacy, LLC | Pharmacy | 2700 Northeast Expy Ne, Suite B-800, Atlanta, GA 30345 | 2012-05-15 |
| 1962794479 | Nicole Renee Buttery | Behavioral Analyst | 1776 Century Blvd Ne Ste A, Atlanta, GA 30345 | 2011-05-03 |
| 1972839371 | Barbara Lopes Cardozo | Psychiatry & Neurology | 2500 Century Blvd, Mailstop V 25-1, Atlanta, GA 30345 | 2009-10-20 |
| 1568615193 | Zouheir A Shama Sr. | Surgery | 2536 Cosmos Drive N.e., Atlanta, GA 30345 | 2008-10-28 |
| 1396930558 | Munir Kashlan | Dentist | 4800 Briarcliff Rd, Ste 2037 American Dental Group Dba Great Expressions, Atlanta, GA 30345 | 2007-09-11 |
| Find all providers in zip 30345 | ||||
| Taxonomy Code | 2081P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pain Medicine |
| A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760900708 | Neuro Diagnostic Group LLC | Physical Medicine & Rehabilitation | 200 Galleria Pkwy Se Ste 100, Atlanta, GA 30339-5944 | 2017-08-30 |
| 1073812335 | Mikhail Zhukalin | Physical Medicine & Rehabilitation | 1648 Pierce Dr. Ne, Atlanta, GA 30307 | 2011-03-24 |
| 1821113556 | Med Health Services LLC | Physical Medicine & Rehabilitation | 4780 Ashford Dunwoody Road, Ste A418, Atlanta, GA 30338-5504 | 2007-03-20 |
| 1659409860 | Vita Life Medical LLC | Physical Medicine & Rehabilitation | 2870 Peachtree Rd Ne, Ste 431, Atlanta, GA 30305 | 2007-03-01 |
| 1891796595 | Shane C Mangrum | Physical Medicine & Rehabilitation | 1150 Hammond Dr, Suite 400, Atlanta, GA 30328-5334 | 2005-08-03 |
| 1518568591 | Atlanta Spine, PC | Physical Medicine & Rehabilitation | 755 Mount Vernon Hwy Ne Ste 305, Atlanta, GA 30328-4290 | 2020-11-05 |
| 1629688114 | Prm of Georgia PC | Physical Medicine & Rehabilitation | 371 E Paces Ferry Rd Ne Ste 730, Atlanta, GA 30305-2372 | 2020-08-09 |
| 1316507775 | Atlanta Spine, PC | Physical Medicine & Rehabilitation | 60 Peachtree Park Dr Ne Ste 200, Atlanta, GA 30309-1304 | 2019-06-18 |
| 1295197036 | Chelsea Denise Frost | Physical Medicine & Rehabilitation | 59 Executive Park South Ne, Atlanta, GA 30329-2208 | 2016-03-22 |
| 1063766160 | Thomas H Xu | Physical Medicine & Rehabilitation | 2001 Peachtree Rd Ne Ste 550, Atlanta, GA 30309-1416 | 2012-10-29 |
| Find all providers in ATLANTA | ||||
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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.