ROSWELL PAIN SURGICAL CENTER (NPI# 1912388976) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912388976 |
| Entity Type | Organization |
| Organization Name | ROSWELL PAIN SURGICAL CENTER |
| Practice Address |
1300 Upper Hembree Rd Suite B Roswell GA 30076-0927 |
| Practice Telephone | 6787367680 |
| Practice Fax Number | 8885375362 |
| Mailing Telephone | 6787367680 |
| Enumeration Date | 2015-06-16 |
| Last Update Date | 2015-06-16 |
| Authorized Official Name | DR. DAMON CHRISTIAN KIMES SR. (OWNER) |
| Authorized Official Telephone | 6787367680 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | ROSWELL PAIN SPECIALISTS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| Street Address |
1300 UPPER HEMBREE RD SUITE B |
| City | ROSWELL |
| State | GA |
| Zip Code | 30076-0927 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104803915 | Shelley Monique Dunson-allen | Specialist | 1300 Upper Hembree Rd, Building 100, Suite D, Roswell, GA 30076-0927 | 2005-12-22 |
| 1720489305 | Nuria Nelkin | Advanced Practice Midwife | 1300 Upper Hembree Rd, Roswell, GA 30076-0927 | 2014-09-15 |
| 1992138689 | Harmony Chiropractic Center LLC | Chiropractor | 1300 Upper Hembree Rd, Suite C, Roswell, GA 30076-0927 | 2013-08-16 |
| 1982948139 | Innovative Pain Management Center LLC | Anesthesiology | 1300 Upper Hembree Rd, Building 100, Suite B, Roswell, GA 30076-0927 | 2012-11-11 |
| 1437493681 | Innovative Ambulatory Surgery Center | Clinic/Center | 1300 Upper Hembree Rd, Building 100, Suite B, Roswell, GA 30076-0927 | 2012-11-11 |
| 1710121025 | Sabrina D. Harrison, M.d., P.C. | Obstetrics & Gynecology | 1300 Upper Hembree Rd, Bldg 100, Ste D, Roswell, GA 30076-0927 | 2009-04-30 |
| 1285805713 | Oscar Jameson Stokes | Anesthesiology | 1300 Upper Hembree Rd, Building 100, Suite B, Roswell, GA 30076-0927 | 2008-03-12 |
| 1841474707 | North Fulton Rheumatology | Specialist | 1300 Upper Hembree Rd, Bld# 100, Suite #a, Roswell, GA 30076-0927 | 2007-12-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275505 | Apex Spine and Neurosurgery LLC | Neurological Surgery | 1295 Hembree Rd Ste 200 Bldg B, Roswell, GA 30076 | 2020-11-06 |
| 1841776689 | Scott Gunter Brunson | Hearing Instrument Specialist | 777 Old Roswell Pl # E100, Roswell, GA 30076 | 2018-07-16 |
| 1861998197 | Daniel B Charek | Clinical Neuropsychologist | 11685 Alpharetta Hwy Ste 170, Roswell, GA 30076 | 2018-04-04 |
| 1427575554 | A One Home Care, Inc. | In Home Supportive Care | 1875 Old Alabama Road, Suite 420, Roswell, GA 30076 | 2017-08-29 |
| 1053836023 | Madelon Morgan | Counselor | 555 Sun Valley Dr Bldg F, Roswell, GA 30076 | 2017-08-10 |
| 1245769637 | Family Behavioral Health, LLC | Clinic/Center | 9275 Martin Rd, Roswell, GA 30076 | 2017-06-08 |
| 1093163750 | Ryann Soutar | Counselor | 702 Macy Dr, Roswell, GA 30076 | 2016-06-02 |
| 1447618707 | Concierge Medical Mgmt Group | Contractor | 760 Old Roswell Rd Ste 117, Roswell, GA 30076 | 2016-02-02 |
| 1063877710 | Augustine Young | Community/Behavioral Health | 427 Royal Creek Dr, Roswell, GA 30076 | 2015-12-23 |
| 1710360441 | Currents Massage LLC | Massage Therapist | 760 Old Roswell Road, Suite 230, Roswell, GA 30076 | 2015-06-30 |
| Find all providers in zip 30076 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700424322 | Georgia Interventional Pain - F, LLC | Clinic/Center | 1357 Hembree Rd Ste 230, Roswell, GA 30076-5725 | 2019-12-13 |
| 1851865828 | Atlanta Surgery North | Clinic/Center | 11660 Alpharetta Hwy Ste 730, Roswell, GA 30076-4916 | 2019-01-14 |
| 1073594446 | Southeastern New Mexico Surgical Center, LLC | Clinic/Center | 113 E 19th St, Roswell, NM 88201-5151 | 2005-11-10 |
| 1346240751 | Roswell Center for Foot & Ankle Surgery, LLC | Clinic/Center | 1357 Hembree Rd Ste 100, Roswell, GA 30076-5710 | 2005-07-28 |
| 1528339645 | The Graivier Center | Clinic/Center | 1295 Hembree Rd, Bldg. B, Suite 100, Roswell, GA 30076-5721 | 2012-01-20 |
| 1356672919 | Cpmsc Roswell, PC | Clinic/Center | 1295 Hembree Rd, Suite A-101, Roswell, GA 30076-5721 | 2010-01-21 |
| 1164664595 | Alpharetta Head and Neck Surgical Center, LLC | Clinic/Center | 1360 Upper Hembree Rd, Suite 202, Roswell, GA 30076-1171 | 2009-03-31 |
| 1942413943 | Rock Bridge Surgical Institute, LLC | Clinic/Center | 2500 Hospital Blvd, Suite 460, Roswell, GA 30076-4975 | 2007-05-07 |
| 1720085277 | Roswell Surgery Center LLC | Clinic/Center | 1285 Hembree Rd, Ste 200c, Roswell, GA 30076-4995 | 2005-06-30 |
| 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 |
| 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 |
| 1194283267 | Georgia Interventional Pain - E, LLC | Clinic/Center | 100 Liberty Blvd Ste 220, Canton, GA 30114-2852 | 2019-03-07 |
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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.