Pallavi Gupta (NPI# 1043503824, PAC ID# 6901043025) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PAIN MANAGEMENT.
| Nation Provider ID (NPI) | 1043503824 |
| PAC ID by PECOS | 6901043025 |
| Professional Enrollment ID | I20161018001172 |
| Full Name | Pallavi Gupta |
| Organization Legal Name | INTERVENTIONAL SPINE AND PAIN MANAGEMENT CENTER, PC |
| Address |
1388 Wellbrook Necir A Conyers GA 30012-3872 |
| Phone Number | 7709299033 |
| Gender | F |
| Medical School | UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE |
| Graduation Year | 2011 |
| Primary Specialty | PAIN MANAGEMENT |
| Group Practice PAC ID | 2769483031 |
| Number of Group Practice Members | 46 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110042 | WELLSTAR PAULDING HOSPITAL |
| 110083 | PIEDMONT HOSPITAL |
| 110143 | WELLSTAR COBB HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 3870 Medical Park Dr, Austell, GA 30106-1110 | 7709299033 | INTERVENTIONAL SPINE AND PAIN MANAGEMENT CENTER, PC |
| 1388 Wellbrook Necir A, Conyers, GA 30012-3872 | 7709299033 | INTERVENTIONAL SPINE AND PAIN MANAGEMENT CENTER, PC |
| 110 Evans Mill Rd, Dallas, GA 30157-1642 | 7709299033 | INTERVENTIONAL SPINE AND PAIN MANAGEMENT CENTER, PC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_110_overall | Preventive Care and Screening: Influenza Immunization | 68% | |
| MIPS_EC_111_overall | Pneumococcal Vaccination Status for Older Adults | 85% | |
| MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 98% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_131_overall | Pain Assessment and Follow-Up | 100% | |
| MIPS_EC_154_overall | Falls: Risk Assessment | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 96% |
| Organization Legal Name | INTERVENTIONAL SPINE AND PAIN MANAGEMENT CENTER, PC |
| Physicians | 48 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kunwal Molwani | Nurse Practitioner | Interventional Spine and Pain Management Center, PC | 1367 Interstate Pkwy, Augusta, GA 30909-5626 |
| Torre S Massey | Nurse Practitioner | Interventional Spine and Pain Management Center, PC | 6002 Hwy 53 E 110, Dawsonville, GA 30534 |
| Rhee W Miller | Interventional Pain Management | Interventional Spine and Pain Management Center, PC | 1388 Wellbrook Necir A, Conyers, GA 30012-3872 |
| Sackdinanh N Keomahathai | Physical Medicine and Rehabilitation | Interventional Spine and Pain Management Center, PC | 1388 Wellbrook Necir A, Conyers, GA 30012-3872 |
| Preeti Narayan | Anesthesiology | Interventional Spine and Pain Management Center, PC | 1388 Wellbrook Necir A, Conyers, GA 30012-3872 |
| Preetesh P Patel | Anesthesiology | Interventional Spine and Pain Management Center, PC | 1388 Wellbrook Necir A, Conyers, GA 30012-3872 |
| Rachel Eicher | Physician Assistant | Interventional Spine and Pain Management Center, PC | 1388 Wellbrook Necir A, Conyers, GA 30012-3872 |
| Kelly Mcdowell | Nurse Practitioner | Interventional Spine and Pain Management Center, PC | 1388 Wellbrook Necir A, Conyers, GA 30012-3872 |
| Beata K Grochowska | Pain Management | Interventional Spine and Pain Management Center, PC | 1388 Wellbrook Necir A, Conyers, GA 30012-3872 |
| Robin J Fowler | Interventional Pain Management | Interventional Spine and Pain Management Center, PC | 1388 Wellbrook Necir A, Conyers, GA 30012-3872 |
| Street Address |
1388 WELLBROOK NECIR A |
| City | CONYERS |
| State | GA |
| Zip | 30012-3872 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rhee W Miller | Interventional Pain Management | Interventional Spine and Pain Management Center, PC | 1388 Wellbrook Necir A, Conyers, GA 30012-3872 |
| Sackdinanh N Keomahathai | Physical Medicine and Rehabilitation | Interventional Spine and Pain Management Center, PC | 1388 Wellbrook Necir A, Conyers, GA 30012-3872 |
| Preeti Narayan | Anesthesiology | Interventional Spine and Pain Management Center, PC | 1388 Wellbrook Necir A, Conyers, GA 30012-3872 |
| Preetesh P Patel | Anesthesiology | Interventional Spine and Pain Management Center, PC | 1388 Wellbrook Necir A, Conyers, GA 30012-3872 |
| Rachel Eicher | Physician Assistant | Interventional Spine and Pain Management Center, PC | 1388 Wellbrook Necir A, Conyers, GA 30012-3872 |
| Kelly Mcdowell | Nurse Practitioner | Interventional Spine and Pain Management Center, PC | 1388 Wellbrook Necir A, Conyers, GA 30012-3872 |
| Beata K Grochowska | Pain Management | Interventional Spine and Pain Management Center, PC | 1388 Wellbrook Necir A, Conyers, GA 30012-3872 |
| Robin J Fowler | Interventional Pain Management | Interventional Spine and Pain Management Center, PC | 1388 Wellbrook Necir A, Conyers, GA 30012-3872 |
| Efosa Ogiamien | Anesthesiology | Interventional Spine and Pain Management Center, PC | 1388 Wellbrook Necir A, Conyers, GA 30012-3872 |
| Juan He | Physician Assistant | Interventional Spine and Pain Management Center, PC | 1388 Wellbrook Necir A, Conyers, GA 30012-3872 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven T Wilder | Chiropractic | 1091 W Ave Sw, Conyers, GA 30012 | |
| Sitharam Chowdary Nandigam | Nephrology | Eastside Premier Nephrology and Hypertension PC | 1612 Milstead Rd, Suite A, Conyers, GA 30012-3738 |
| Ekundayo A Falase | Nephrology | Eastside Premier Nephrology and Hypertension PC | 1612 Milstead Rd, Suite A, Conyers, GA 30012-3738 |
| Yilikal Tassew Kassa | Nephrology | Eastside Premier Nephrology and Hypertension PC | 1612 Milstead Rd, Suite A, Conyers, GA 30012-3738 |
| Nardos Ketema Belayneh | Nephrology | Eastside Premier Nephrology and Hypertension PC | 1612 Milstead Rd, Suite A, Conyers, GA 30012-3738 |
| Neil A Trossevin | Physician Assistant | Georgia Urology, Pa | 1301 Sigman Rd Ne, Suite 250a, Conyers, GA 30012-3812 |
| Allen A Futral | Urology | Georgia Urology, Pa | 1301 Sigman Rd Ne, Suite 250a, Conyers, GA 30012-3812 |
| Bert T Chen | Urology | Georgia Urology, Pa | 1301 Sigman Rd Ne, Suite 250a, Conyers, GA 30012-3812 |
| Froylan C Gonzales | Urology | Georgia Urology, Pa | 1301 Sigman Rd Ne, Suite 250a, Conyers, GA 30012-3812 |
| Kisha Adderley | Nurse Practitioner | Rockdale Physician Practices LLC | 1301 Sigman Rd Ne, Suite 125, Conyers, GA 30012-3812 |
| Find all physicians in zip 30012 | |||
| City | CONYERS |
| Zip Code | 30012 |
| Specialty | PAIN MANAGEMENT |
| City + Specialty | CONYERS + PAIN MANAGEMENT |
Please comment or provide details below to improve the information on Pallavi Gupta.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.