GEORGIA PAIN SPINE CENTER (NPI# 1750494423) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750494423 |
| Entity Type | Organization |
| Organization Name | GEORGIA PAIN SPINE CENTER |
| Practice Address |
15 Medical Drive Suite 302 Cartersville GA 30121 |
| Mailing Address |
Po Box 11407 Dept 2657 Birmingham AL 35246-0001 |
| Practice Telephone | 6783373163 |
| Practice Fax Number | 7704227306 |
| Mailing Telephone | 7709204950 |
| Mailing Fax Number | 7709299092 |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2020-02-20 |
| Authorized Official Name | VICTORIA BECK (CFO) |
| Authorized Official Telephone | 4044038310 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP3300X |
Clinic/Center Specialization: Pain |
008-311 | GA | Ambulatory Health Care Facilities |
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | CCN AND FIRST HEALTH | 5665923 | 01 |
| Street Address |
15 MEDICAL DRIVE SUITE 302 |
| City | CARTERSVILLE |
| State | GA |
| Zip Code | 30121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639700065 | Emilee Mcdonald Thomas | Pharmacist | 125 E Main Street Marketplace, Cartersville, GA 30121 | 2020-02-04 |
| 1245750249 | Gina Marie Hoosline | Contractor | 38 Roving Rd Se, Cartersville, GA 30121 | 2017-06-21 |
| 1730634239 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 125 E Main St Se, Cartersville, GA 30121 | 2016-08-25 |
| 1811340797 | Pt Solutions of Acworth LLC | Physical Therapist | 261 Stars Way, Cartersville, GA 30121 | 2016-07-15 |
| 1053572172 | Helen Clair Medlin | Nurse Practitioner | 255 Prosperity Way Ne, Adairsville, GA 30121 | 2008-06-20 |
| 1669539508 | The Healthcaring Clinic of Georgia, LLC | Nurse Practitioner | 491 East Main St., Cartersville, GA 30121 | 2007-01-02 |
| 1275636334 | Medicine Stop Pharmacy | Pharmacy | 117 S Tennessee St, Cartersville, GA 30121 | 2006-09-06 |
| 1932138716 | Cartersville Diagnostic Center | Clinic/Center | 21 Pointe North Drive, Suite 105, Cartersville, GA 30121 | 2006-07-02 |
| 1689663825 | Howard Jamie Williams | Physician Assistant | 15 Medical Dr Ne Ste 101, Cartersville, GA 30121 | 2005-10-20 |
| 1770086167 | Josephine Wangari Ndingiu | Pharmacist | 101 Market Place Blvd, Cartersville, GA 30121 | 2018-03-13 |
| Find all providers in zip 30121 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467016055 | Harbin Clinic, LLC | Clinic/Center | 200 Gentilly Blvd, Cartersville, GA 30120 | 2019-04-29 |
| 1316276512 | Women's Surgical Center | Clinic/Center | 958 Joe Frank Harris Pkwy Se Bldg A, Suite 107, Cartersville, GA 30120-2175 | 2009-12-17 |
| 1578748620 | Georgia Bone and Joint Surgeons, P.C. | Clinic/Center | 15 Medical Dr Ne Ste 101, Cartersville, GA 30121-8005 | 2008-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598372963 | Alliance Surgery Center At Peachtree City LLC | Clinic/Center | 1975 Highway 54 W Ste 105, Peachtree City, GA 30269-4794 | 2020-09-29 |
| 1518579903 | Amin Surgery Center for Women LLC | Clinic/Center | 1150b Kirkland Ln, Douglas, GA 31533-2044 | 2020-08-18 |
| 1801413174 | Pa-c Surgical Assist, LLC | Clinic/Center | 520 W Ponce Leon Ave #1706, Decatur, GA 30030 | 2020-07-02 |
| 1720602683 | Georgia Eye Surgery LLC | Clinic/Center | 1620 Prince Ave Ste B, Athens, GA 30606-6008 | 2020-06-05 |
| 1750905618 | Rsps Fayetteville Asc Lllp | Clinic/Center | 874 Lanier Ave W Ste 270, Fayetteville, GA 30214-7617 | 2020-06-05 |
| 1699395541 | Medici Surgical Center Gwinnett, LLC | Clinic/Center | 2220 Wisteria Dr Ste 100, Snellville, GA 30078-4604 | 2020-04-21 |
| 1114552338 | Georgia Interventional Pain - G, LLC | Clinic/Center | 1504 N Thornton Ave Ste 104, Dalton, GA 30720-8394 | 2020-03-09 |
| 1700424322 | Georgia Interventional Pain - F, LLC | Clinic/Center | 1357 Hembree Rd Ste 230, Roswell, GA 30076-5725 | 2019-12-13 |
| 1699328369 | Georgia Urology, Pa | Clinic/Center | 1670 Scott Blvd Ste 204k, Decatur, GA 30033-5645 | 2019-07-22 |
| 1912563941 | Commerce Ambulatory Surgery Center, Inc. | Clinic/Center | 417 Pottery Factory Dr, Commerce, GA 30529-6682 | 2019-05-15 |
| Find all providers with the same taxonomy | ||||
| City | CARTERSVILLE |
| Zip Code | 30121 |
Please comment or provide details below to improve the information on GEORGIA PAIN SPINE CENTER.
| 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.