ATLANTA PAIN REHABILITATION MANAGEMENT, LLC (NPI# 1689918310) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689918310 |
| Entity Type | Organization |
| Organization Name | ATLANTA PAIN REHABILITATION MANAGEMENT, LLC |
| Other Organization Name | ATLANTA PAIN REHABILITATION |
| Practice Address |
2950 Stone Hogan Rd Bldg 3 Suite B Atlanta GA 30331-2837 |
| Mailing Address |
2950 Stone Hogan Road Conn Bldg 3 Suite B Atlanta GA 30331 |
| Practice Telephone | 4042282587 |
| Mailing Telephone | 4042282587 |
| Enumeration Date | 2012-11-19 |
| Last Update Date | 2012-11-19 |
| Authorized Official Name | MR. JACOB KOSHY (MANAGER) |
| Authorized Official Telephone | 4042282587 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
156887 | GA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| atlanta pain rehabilitation | Doing Business As Name - Organization |
| Street Address |
2950 STONE HOGAN RD BLDG 3 SUITE B |
| City | ATLANTA |
| State | GA |
| Zip Code | 30331-2837 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568411361 | Southwest Atlanta Ambulatory Foot and Ankle Surgical Center, Inc. | Clinic/Center | 2950 Stone Hogan Rd, Atlanta, GA 30331-2837 | 2006-05-09 |
| 1619118577 | Apex Pain and Rehabilitation Inc. | Chiropractor | 2950 Stone Hogan Rd, Connector Sw, Atlanta, GA 30331-2837 | 2009-03-23 |
| 1013161686 | Agape Medical Supply & Durable Medical Equipment | Durable Medical Equipment & Medical Supplies | 2950 Stone Hogan Rd, Suite 106, Atlanta, GA 30331-2837 | 2008-11-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861001174 | Whitney Flemister | Social Worker | 3961 Princeton Lakes Way Sw, Atlanta, GA 30331 | 2020-07-23 |
| 1982237400 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 5829 Campbellton Road, S.w, Suite 110, Atlanta, GA 30331 | 2020-02-13 |
| 1295375558 | Drusilla Precious Cudjoe | Behavior Technician | 3800 Camp Creek Parkway Sw, Building 1400, Atlanta, GA 30331 | 2020-01-14 |
| 1497262778 | Champions Pharmacy | Pharmacy | 3886 Princeton Lakes Way Suite 180, Atlanta, GA 30331 | 2018-01-08 |
| 1033629779 | Carmen Ardoin | Counselor | 2636 Martin Luther King Jr. Drive, Suite 12, Atlanta, GA 30331 | 2017-10-09 |
| 1346759974 | Neva R Allison | Nurse Practitioner | 2611 Dayview Ln, Atlanta, GA 30331 | 2017-09-26 |
| 1538678255 | Natalie Mckay | Technician/Technologist | 3915 Cascade Rd, 220, Atlanta, GA 30331 | 2017-09-26 |
| 1700304268 | Tyrone Pipkin | Contractor | 415 Kendrick Terrace Sw, Atlanta, GA 30331 | 2017-09-05 |
| 1073031688 | Kristen Wooldridge | Pharmacist | 3695 Cascade Road, Atlanta, GA 30331 | 2017-09-04 |
| 1548704687 | Advance Pain Management | Health Maintenance Organization | 2950 Stone Hogan Road Connector, Atlanta, GA 30331 | 2016-12-08 |
| Find all providers in zip 30331 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598373755 | Pediatric Developmental Services | Clinic/Center | 2250 N Druid Hills Rd Ne Ste 265, Atlanta, GA 30329-3141 | 2020-07-14 |
| 1790307924 | Cryogen Plus LLC | Clinic/Center | 1039 Grant St Se Bldg A, Atlanta, GA 30315-2014 | 2020-05-11 |
| 1265082028 | Kmb Billing and Consulting | Clinic/Center | 2295 Parklake Dr Ne Ste 425, Atlanta, GA 30345-2812 | 2019-09-13 |
| 1194378745 | Georgia Therapy Clinic, LLC | Clinic/Center | 1800 Peachtree St Nw Ste 730, Atlanta, GA 30309-2511 | 2019-07-23 |
| 1588015648 | Meridian Corporate Healthcare of Georgia P C | Clinic/Center | 1000 Techwood Dr Nw, Atlanta, GA 30318 | 2016-06-29 |
| 1598000234 | Medical Wellness Group | Clinic/Center | 2015 Mlk Jr Drive, Atlanta, GA 30310 | 2012-12-06 |
| 1861788986 | Dynamic 1 Medical and Rehab Clinic | Clinic/Center | 2015 Martin Luther King Jr Drive Suite B, Atlanta, GA 30310 | 2011-06-27 |
| 1124333547 | Benchmark Healthcare Services LLC | Clinic/Center | 550 Peachtree St Ne Ste 1775, Atlanta, GA 30308-2264 | 2010-08-10 |
| 1851604375 | Independent Physical Therapy of Ga, LLC | Clinic/Center | 3200 Downwood Cir Nw Ste 380, Atlanta, GA 30327-1610 | 2010-07-26 |
| 1366595118 | Thacker & Thompson | Clinic/Center | 619 Rankin St Ne, Atlanta, GA 30308-2920 | 2007-01-18 |
| Find all providers in ATLANTA | ||||
Please comment or provide details below to improve the information on ATLANTA PAIN REHABILITATION MANAGEMENT, LLC.
| 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.