INTERVENTIONAL SPINE AND PAIN MANAGEMENT CENTER, PC (NPI# 1154780914) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154780914 |
Entity Type | Organization |
Organization Name | INTERVENTIONAL SPINE AND PAIN MANAGEMENT CENTER, PC |
Practice Address |
2675 N Decatur Rd Suite 303 Decatur GA 30033-6131 |
Mailing Address |
3390 Peachtree Rd Ne Suite 1500 Atlanta GA 30326-1157 |
Practice Telephone | 7709299033 |
Mailing Telephone | 4049204950 |
Enumeration Date | 2016-02-22 |
Last Update Date | 2016-05-16 |
Authorized Official Name | VICTORIA BECK (CFO) |
Authorized Official Telephone | 4049204950 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235756792 | Interventional Spine and Pain Management Center, PC | Pain Medicine | 2100 Central Ave Ste 6, Augusta, GA 30904-6709 | 2020-07-01 |
1114578515 | Interventional Spine and Pain Management Center, PC | Pain Medicine | 6002 Highway 53 E Ste 110, Dawsonville, GA 30534-6227 | 2019-09-26 |
1467014936 | Interventional Spine and Pain Management Center, PC | Pain Medicine | 6920 Mcginnis Ferry Rd Ste 360b, Suwanee, GA 30024-6672 | 2019-07-03 |
1265892293 | Interventional Spine and Pain Management Center, PC | Pain Medicine | 6002 Hwy 52 East, Suite 110, Dawsonville, GA 30534 | 2016-03-03 |
1083212963 | Interventional Spine and Pain Management Center, PC | Pain Medicine | 1975 Highway 54 W Ste 100, Peachtree City, GA 30269-4794 | 2020-10-13 |
1598127540 | Interventional Spine and Pain Management Center, PC | Pain Medicine | 3885 Princeton Lakes Way Sw, Atlanta, GA 30331-5589 | 2016-03-28 |
1326409566 | Interventional Spine and Pain Management Center, PC | Pain Medicine | 3885 Princeton Lakes Way Sw, Suite 225, Atlanta, GA 30331-5589 | 2016-03-16 |
1972963635 | Interventional Spine and Pain Management Center, PC | Pain Medicine | 5303 Adams St Ne, Suite B, Covington, GA 30014-6208 | 2016-02-24 |
1669831327 | Interventional Spine and Pain Management Center, PC | Pain Medicine | 812 S Park St, Suite 5b, Carrollton, GA 30117-4412 | 2016-02-23 |
1407215262 | Interventional Spine and Pain Management Center, PC | Pain Medicine | 1295 Hembree Rd, Suite 101, Roswell, GA 30076-5721 | 2016-02-22 |
Street Address |
2675 N DECATUR RD SUITE 303 |
City | DECATUR |
State | GA |
Zip Code | 30033-6131 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164423471 | Tonya Echols Cole | Specialist | 2675 N Decatur Rd, Suite G-03, Decatur, GA 30033-6131 | 2005-08-09 |
1609475227 | Olivia Ward | Pharmacist | 2675 N Decatur Rd, Decatur, GA 30033-6131 | 2020-10-23 |
1154920726 | Tiera Shanae Williams | Pharmacist | 2675 N Decatur Rd, Decatur, GA 30033-6131 | 2020-10-23 |
1104430859 | Victoria Phan | Pharmacist | 2675 N Decatur Rd, Decatur, GA 30033-6131 | 2020-09-01 |
1265884985 | Renzo P Gonzalez | Pharmacist | 2675 N Decatur Rd, Suite 101, Decatur, GA 30033-6131 | 2016-07-06 |
1033567847 | Amanda Singh | Physician Assistant | 2675 N Decatur Rd, Decatur, GA 30033-6131 | 2016-06-02 |
1033565106 | Kavia Chandra Kreitel | Advanced Practice Midwife | 2675 N Decatur Rd, Decatur, GA 30033-6131 | 2016-05-09 |
1851756068 | Ddab, LLC | Nurse Anesthetist, Certified Registered | 2675 N Decatur Rd, Suite 506, Decatur, GA 30033-6131 | 2015-12-15 |
1619348158 | Olga Mason | Nurse Practitioner | 2675 N Decatur Rd, Suite 512, Decatur, GA 30033-6131 | 2015-10-09 |
1235505280 | Moniqua Turner | Physician Assistant | 2675 N Decatur Rd, Decatur, GA 30033-6131 | 2015-08-13 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922613785 | Healing Minds, Helping Hearts, LLC | Social Worker | 2532 N Decatur Rd, Apt 1304, Decatur, GA 30033 | 2020-09-09 |
1700412517 | Delana Finney | Orthotist | Vamc - Atlanta, 1670 Clairmont Rd, Decatur, GA 30033 | 2020-03-13 |
1194389353 | Katherine Serafen | Physician Assistant | 2701 N Decatur Road, Ground Floor Suite 520, Decatur, GA 30033 | 2019-04-23 |
1194290973 | Suzanne Johnson | Psychologist | Atlanta Va Health Care System, 1670 Clairmont Rd, Decatur, GA 30033 | 2018-10-09 |
1245705334 | Mcleod Counseling Services, LLC | Clinic/Center | 2801 N. Decatur Rd, Suite 185, Decatur, GA 30033 | 2018-10-04 |
1225514797 | Erkin Mirkhatovich Turganov | Pharmacist | 2951 Cedar Brook Dr, Decatur, GA 30033 | 2018-07-17 |
1356834972 | Sharlencia Lord | Nurse Practitioner | 2738 N Decatur Rd # 292-3173, Decatur, GA 30033 | 2018-06-08 |
1194213140 | Zacarias Yanis Jr. | Clinical Neuropsychologist | 1276 Mcconnell Drive Ste C., Decatur, GA 30033 | 2018-04-25 |
1780181370 | Ryan Patton | Orthopaedic Surgery | 2723 Hollywood Dr, Decatur, GA 30033 | 2018-04-10 |
1437669751 | Sholanda D Hooper | Nurse Practitioner | 1601 Clairmont Rd, Decatur, GA 30033 | 2017-10-02 |
Find all providers in zip 30033 |
Taxonomy Code | 208VP0014X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pain Medicine |
Specialization | Interventional Pain Medicine |
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457820599 | Ved V Aggarwal Md Pa | Pain Medicine | 258 W Ridge St, Decatur, TX 76234-4797 | 2018-11-19 |
1972966893 | Guardian Headache and Pain Managment | Pain Medicine | 1110 Arbor Dr, Ste B, Decatur, IL 62526-9285 | 2016-03-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891302998 | Apollo Spine and Pain Center | Pain Medicine | 4415 Front Nine Dr, Cumming, GA 30041-6063 | 2020-09-23 |
1235756792 | Interventional Spine and Pain Management Center, PC | Pain Medicine | 2100 Central Ave Ste 6, Augusta, GA 30904-6709 | 2020-07-01 |
1902433147 | Sun Pain Institute LLC | Pain Medicine | 836 E 65th St Ste 38, Savannah, GA 31405-4495 | 2020-03-26 |
1679107338 | Atlanta Interventional Pain Management, LLC | Pain Medicine | 13190 Highway 92 Ste 120, Woodstock, GA 30188-4406 | 2020-03-02 |
1578193355 | Regenerative Spine and Pain Specialists | Pain Medicine | 874 Lanier Ave W Ste 250, Fayetteville, GA 30214-7662 | 2020-01-22 |
1437790839 | Specialty Spine and Pain, PC | Pain Medicine | 1498 Jesse Jewell Pkwy Se Ste D, Gainesville, GA 30501-3874 | 2019-10-07 |
1154962165 | Specialty Spine and Pain, PC | Pain Medicine | 2695 Old Winder Hwy Ste 150, Braselton, GA 30517-6076 | 2019-10-01 |
1659912665 | Specialty Spine and Pain, PC | Pain Medicine | 5005a Lanier Islands Pkwy Ste 100, Buford, GA 30518-1802 | 2019-10-01 |
1114578515 | Interventional Spine and Pain Management Center, PC | Pain Medicine | 6002 Highway 53 E Ste 110, Dawsonville, GA 30534-6227 | 2019-09-26 |
1477106771 | Spine Center of Southeast Georgia LLC | Pain Medicine | 52a Lindsey Lane, Kingsland, GA 31548-6855 | 2019-07-17 |
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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.