ATLANTA SPINE, PC (NPI# 1073979621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073979621 |
| Entity Type | Organization |
| Organization Name | ATLANTA SPINE, PC |
| Practice Address |
1288 Wellbrook Cir Ne Ste A Conyers GA 30012-8032 |
| Practice Telephone | 6783696934 |
| Mailing Telephone | 6783696934 |
| Enumeration Date | 2016-01-12 |
| Last Update Date | 2019-08-13 |
| Authorized Official Name | KIMBERLY FORD (PRACTICE ADMINISTRATOR) |
| Authorized Official Telephone | 6783696934 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 60 Peachtree Park Dr Ne Ste 200, Atlanta, GA 303091304 | 6783696934 | |
| 2675 N Decatur Rd Ste 401, Decatur, GA 300336133 | 6783696934 | |
| 2061 Peachtree Rd Ne Ste 250, Atlanta, GA 303091440 | 6783696934 | |
| 2340 Patrick Henry Pkwy, Mcdonough, GA 302534325 | 6783696934 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518568591 | Atlanta Spine, PC | Physical Medicine & Rehabilitation | 755 Mount Vernon Hwy Ne Ste 305, Atlanta, GA 30328-4290 | 2020-11-05 |
| 1598319766 | Atlanta Spine, PC | Pain Medicine | 2340 Patrick Henry Pkwy Ste 150, Mcdonough, GA 30253-4326 | 2019-07-26 |
| 1316507775 | Atlanta Spine, PC | Physical Medicine & Rehabilitation | 60 Peachtree Park Dr Ne Ste 200, Atlanta, GA 30309-1304 | 2019-06-18 |
| 1104396415 | Atlanta Spine, PC | Physical Medicine & Rehabilitation | 2675 N Decatur Rd Ste 401, Decatur, GA 30033-6133 | 2018-11-29 |
| 1326406075 | Atlanta Spine, PC | Durable Medical Equipment & Medical Supplies | 1288 Wellbrook Cir Ne Ste A, Conyers, GA 30012-8032 | 2016-02-09 |
| Street Address |
1288 WELLBROOK CIR NE STE A |
| City | CONYERS |
| State | GA |
| Zip Code | 30012-8032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073698999 | Harvinder S. Bhatti | Orthopaedic Surgery | 1288 Wellbrook Cir Ne Ste A, Conyers, GA 30012-8032 | 2006-10-26 |
| 1326406075 | Atlanta Spine, PC | Durable Medical Equipment & Medical Supplies | 1288 Wellbrook Cir Ne Ste A, Conyers, GA 30012-8032 | 2016-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578188306 | The Eye Md | Ophthalmology | 1359 Milstead Road, Suite #103, Conyers, GA 30012 | 2020-06-08 |
| 1043855836 | Maurvet Minto | Counselor | 1175 Green St, Conyers, Conyers, GA 30012 | 2019-11-15 |
| 1770054561 | Sarah Elizabeth Brooks | Physical Medicine & Rehabilitation | 1290 Milstead Ave Ne, Conyers, GA 30012 | 2018-12-06 |
| 1679091276 | Valorie Antoinette Jones | Counselor | 1175 Green St Se, Conyers, GA 30012 | 2017-09-02 |
| 1558886341 | Synergy Radiology, LLC | Radiology | 1501 Milstead Road, Suite 140, Conyers, GA 30012 | 2017-08-14 |
| 1558813295 | Salon Lyon, LLC | Specialist | 1112 West Ave, Se, B, Conyers, GA 30012 | 2016-10-28 |
| 1992252753 | Traci Hunter Bryan | Pharmacist | 1501 Milstead Ave Ne, Suite 110, Conyers, GA 30012 | 2016-09-08 |
| 1316491830 | Hye Rim Kim | Anesthesiologist Assistant | 1380 Milstead Rd Ne, Suite G, Conyers, GA 30012 | 2016-08-12 |
| 1235591397 | David Jeffrey Wasserman | Optometrist | 1192 Dogwood Dr Sw, Conyers, GA 30012 | 2016-03-28 |
| 1174919187 | Anique Archer | Health Educator | 2170 Lester Rd Nw, Conyers, GA 30012 | 2015-04-07 |
| Find all providers in zip 30012 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073698999 | Harvinder S. Bhatti | Orthopaedic Surgery | 1288 Wellbrook Cir Ne Ste A, Conyers, GA 30012-8032 | 2006-10-26 |
| 1427087659 | Metropolitan Orthopaedic and Sports Specialists, PC | Orthopaedic Surgery | 1309 Milstead Rd Ne, Suite F, Conyers, GA 30012-3874 | 2006-07-01 |
| 1760706238 | Stephenson A Ikpe Jr. | Orthopaedic Surgery | 1301 Sigman Rd Ne Ste 125, Conyers, GA 30012-3820 | 2010-03-26 |
| 1417118431 | Bryan Justin Whitfield | Orthopaedic Surgery | 1567 Milstead Rd Ne Ste B, Conyers, GA 30012-3835 | 2008-06-23 |
| 1003002767 | Thomas J Mcelligott Md PC | Orthopaedic Surgery | 2415 Wall St Se, Suite B, Conyers, GA 30013-6384 | 2007-09-17 |
| 1184640997 | Sarveswar I Naidu | Orthopaedic Surgery | 2415 Wall St Se, Suite B, Conyers, GA 30013-6384 | 2006-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386258 | Thrive Orthopaedics LLC | Orthopaedic Surgery | 5775 Peachtree Dunwoody Rd Ne Ste C150a, Atlanta, GA 30342-1501 | 2020-11-02 |
| 1568061000 | Esrpa | Orthopaedic Surgery | 1717 Benhill Dr, Snellville, GA 30078-2595 | 2020-10-24 |
| 1588273122 | Mallory Mary Garretson | Orthopaedic Surgery | 3240 N E Expy Ne Ste 100, Atlanta, GA 30341-4003 | 2020-07-29 |
| 1982248597 | Atlanta Area Orthopedics and Regenerative Medicine LLC | Orthopaedic Surgery | 2878 Five Forks Trickum Rd Ste 2c, Lawrenceville, GA 30044-5896 | 2019-11-06 |
| 1821639758 | Optim Orthopedics, LLC | Orthopaedic Surgery | 586 Islands Hwy, Midway, GA 31320-5962 | 2019-10-02 |
| 1396306197 | Athens Orthopedic Clinic, Pa | Orthopaedic Surgery | 1000 Cowles Clinic Way Ste A-400, Greensboro, GA 30642-5289 | 2019-06-24 |
| 1588121123 | 2019 Coastal Orthopedics Surgical Assist LLC | Orthopaedic Surgery | 8882 Abercorn St, Savannah, GA 31406-4508 | 2019-03-01 |
| 1386108769 | Focus Orthopaedics and Sports Medicine PC | Orthopaedic Surgery | 642 Hospital Rd, Commerce, GA 30529-1142 | 2019-01-30 |
| 1326523572 | Athens Orthopedic Clinic, Pa | Orthopaedic Surgery | 2108 Teron Trce Ste 100, Dacula, GA 30019-1666 | 2018-10-03 |
| 1831670322 | Performance Orthopaedics & Sports Medicine | Orthopaedic Surgery | 755 Mount Vernon Hwy Ne Ste 305, Atlanta, GA 30328-4274 | 2018-08-23 |
| Find all providers with the same taxonomy | ||||
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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.