PAIN RELIEF NETWORK OF THE SOUTH (NPI# 1841507621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841507621 |
| Entity Type | Organization |
| Organization Name | PAIN RELIEF NETWORK OF THE SOUTH |
| Practice Address |
2 Ravinia Dr Suite 500 Atlanta GA 30346-2104 |
| Mailing Address |
374 Osprey Pt Stone Mountain GA 30087-6163 |
| Practice Telephone | 6788557147 |
| Practice Fax Number | 7704131197 |
| Mailing Telephone | 6788557147 |
| Mailing Fax Number | 7704131197 |
| Enumeration Date | 2010-09-01 |
| Last Update Date | 2010-09-01 |
| Authorized Official Name | DIANE ROBERTS (PRESIDENT) |
| Authorized Official Telephone | 7708790064 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | DO.1081 | AL | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 2082 | TN | Allopathic & Osteopathic Physicians |
| N | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
33908 | GA | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | 33908 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
2 RAVINIA DR SUITE 500 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30346-2104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730111493 | Daniel Michael Bart | Chiropractor | 2 Ravinia Dr, Suite 100, Atlanta, GA 30346-2104 | 2006-07-06 |
| 1154670115 | Pinnacle Chiropractic Inc | Chiropractor | 2 Ravinia Dr, Suite 100, Atlanta, GA 30346-2104 | 2012-09-06 |
| 1013223577 | Harden Behavioral Solutions, Inc | Counselor | 2 Ravinia Dr, Suite 500, Atlanta, GA 30346-2104 | 2010-08-23 |
| 1760708481 | Katherine Sherry | Social Worker | 2 Ravinia Dr, Suite 500, Atlanta, GA 30346-2104 | 2010-04-20 |
| 1063691350 | Steven R Ventimiglia | Chiropractor | 2 Ravinia Dr, Suite 500, Atlanta, GA 30346-2104 | 2007-11-02 |
| 1891861191 | Benita D. Harden | Counselor | 2 Ravinia Dr, Suite 500, Atlanta, GA 30346-2104 | 2006-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730694332 | Man Fung Lam | Behavioral Analyst | 302 Perimeter Ctr N Apt 2431, Atlanta, GA 30346 | 2017-12-05 |
| 1518413897 | Terre Cheely | Nurse Practitioner | 2 Ravinia Drive Suite 500, Atlanta, GA 30346 | 2016-08-28 |
| 1790139954 | Rachel Brandeis | Dietitian, Registered | 400 Perimeter Center Terrace North, Suite 900, Atlanta, GA 30346 | 2016-04-14 |
| 1952778441 | Kaitlyn Victoria Fredrick | Nurse Practitioner | 41 Perimeter Ctr E Ste 250, Dunwoody, GA 30346 | 2015-08-31 |
| 1689917965 | Taryn Abrams | Psychiatry & Neurology | 41 Perimeter Center East, Suite 250, Dunwoody, GA 30346 | 2013-04-04 |
| 1154683381 | Coby John Lund | Behavioral Analyst | 53 Perimeter Center East, Suite 350, Atlanta, GA 30346 | 2012-06-13 |
| 1306113832 | Shannah Melanie Bachar | Behavioral Analyst | 53 Perimeter Center East Suite 350, Atlanta, GA 30346 | 2011-11-29 |
| 1740561125 | Jblb Holdings, LLC | Electrodiagnostic Medicine | 400 Perimeter Center Ter North, Suite 900, Atlanta, GA 30346 | 2011-08-30 |
| 1215109996 | Alphonso D Porter | Technician/Technologist | 3118-a Washington Rd, East Point, GA 30346 | 2008-04-02 |
| 1437275005 | Elaine Gilner Friedman | Social Worker | 12234 Madison Drive, Atlanta, GA 30346 | 2007-03-22 |
| Find all providers in zip 30346 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841800836 | Ascend Medical Georgia PC | Family Medicine | One Alliance Center, 3500 Lenox Road Suite 1500, Atlanta, GA 30326 | 2020-08-04 |
| 1912521782 | Eagles Landing Family Practice, LLC | Family Medicine | 3333 Riverwood Pkwy Se Ste 250, Atlanta, GA 30339-3304 | 2020-06-08 |
| 1487297164 | Deavmed L.l.c | Family Medicine | 3915 Cascade Rd Sw Ste T-90, Atlanta, GA 30331-8660 | 2019-10-24 |
| 1598319287 | Vibrant Family Medicine, P.C. | Family Medicine | 6667 Vernon Woods Dr Ste A19, Atlanta, GA 30328-3215 | 2019-07-30 |
| 1649739020 | Accumedic Diagnostic Management LLC | Family Medicine | 373 W Lake Ave Nw, Atlanta, GA 30318-8123 | 2019-03-15 |
| 1679037758 | Harrigan Medical Consulting Services, Inc | Family Medicine | 3280 Howell Mill Rd Nw Ste 207, Atlanta, GA 30327-4100 | 2019-01-23 |
| 1184197337 | Todd Ware Davis | Family Medicine | 942 Fern Ave Se, Atlanta, GA 30315-1813 | 2019-01-09 |
| 1881165207 | Le Reve Medical Clinic PC | Family Medicine | 1827 Powers Ferryy Rd Se Bldg 7, Suite 150, Atlanta, GA 30339 | 2018-12-11 |
| 1265902092 | Gregory Stephen Wallace | Family Medicine | 1042 Mason Woods Dr Ne, Atlanta, GA 30329-3802 | 2018-12-05 |
| 1124596069 | Longevity Medical Center, PC | Family Medicine | 4646 N Shallowford Rd Ste 300, Atlanta, GA 30338-6308 | 2018-11-08 |
| 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.