SPINE & SACROILIAC SPECIALISTS, LLC (NPI# 1316977283) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316977283 |
| Entity Type | Organization |
| Organization Name | SPINE & SACROILIAC SPECIALISTS, LLC |
| Practice Address |
550 Peachtree St Ne #1770 Atlanta GA 30308-2247 |
| Mailing Address |
3025 Breckinridge Blvd Suite 120 Duluth GA 30096-7611 |
| Practice Telephone | 4045775459 |
| Mailing Telephone | 6782260082 |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2007-12-05 |
| Authorized Official Name | MICHAEL A AMARAL (OWNER) |
| Authorized Official Telephone | 4045775459 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | 053079 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
550 PEACHTREE ST NE #1770 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30308-2247 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871599332 | Merry Ellen Sebelik | Otolaryngology | 550 Peachtree St Ne, Suite 1135, Atlanta, GA 30308-2212 | 2005-06-21 |
| 1275131393 | Anna Weaver | Registered Nurse | 550 Peachtree St Ne, Atlanta, GA 30308-2212 | 2020-10-12 |
| 1629688320 | Shelby Elizabeth Murphy | Anesthesiologist Assistant | 550 Peachtree St Ne, Atlanta, GA 30308-2212 | 2020-08-06 |
| 1508476755 | Ijeabalum Ibezue | Anesthesiologist Assistant | 550 Peachtree St Ne, Atlanta, GA 30308-2212 | 2020-08-03 |
| 1376152744 | Jennifer Mcclure | Anesthesiologist Assistant | 550 Peachtree St Ne, Atlanta, GA 30308-2212 | 2020-07-30 |
| 1831715234 | Ziluo Jaiah | Technician | 550 Peachtree St Ne, Atlanta, GA 30308-2212 | 2020-06-22 |
| 1568088383 | Tonika J Swint | Nurse Practitioner | 550 Peachtree St Ne, Atlanta, GA 30308-2212 | 2020-06-17 |
| 1780204701 | Ethan Emory Perkins | Nurse Practitioner | 550 Peachtree St Ne, Atlanta, GA 30308-2212 | 2020-04-20 |
| 1851920185 | Alexandrea Hyunjee Kim | Student in an Organized Health Care Education/Training Program | 550 Peachtree St Ne, Atlanta, GA 30308-2212 | 2020-04-07 |
| 1467081075 | Uyen Hong Tran | Physician Assistant | 550 Peachtree St Ne, Atlanta, GA 30308-2212 | 2020-04-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689285165 | Grace Mckinnon Cutchin | Speech-Language Pathologist | 550 Peachtree St. Ne, 9th Floor, Suite 4400, Atlanta, GA 30308 | 2020-08-10 |
| 1063033942 | Life University | Chiropractor | 1 Baltimore P1. Nw, Suite 100, Atlanta, GA 30308 | 2020-05-01 |
| 1184254591 | Jordan Cohen | Specialist | 1075 Peachtree Rd, Suite 300, Atlanta, GA 30308 | 2020-01-24 |
| 1104463819 | Gary Sydney Koech IIi | Registered Nurse | Emory Midtown- Davis Fischer Bld 3rd Floor, Rm 3245a, 550 Peachtree Street, N.e., Atlanta, GA 30308 | 2019-12-02 |
| 1639728207 | Shannon Oliver Sullivan | Counselor | 1 Baltimore Pl Nw, Suite 360, Atlanta, GA 30308 | 2019-09-06 |
| 1477110187 | Ariel Alibey | Preventive Medicine | 550 Peachtree St Ne Bldg 4th, Atlanta, GA 30308 | 2019-05-29 |
| 1972075497 | Laura Mcrae | Nurse Practitioner | Emory Center for Critical Care, 550 Peachtree Street, Davis Fischer Building, Office 3245a, Atlanta, GA 30308 | 2018-12-21 |
| 1265902134 | Kyle Brooks Kraft | Nurse Practitioner | 550 Peachtree Road, Davis Fischer Building, Office 3245a, Atlanta, GA 30308 | 2018-12-04 |
| 1396211025 | Vita Judkins | Pharmacist | 240 Renaissance Pkway Ne, Unit 116, Atlanta, GA 30308 | 2018-10-20 |
| 1407345911 | Caitlin Cundiff | Anesthesiology | 550 Peachtree St Ne Ste 3245b, Atlanta, GA 30308 | 2018-05-09 |
| Find all providers in zip 30308 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831720408 | Jonathan Lau | Neurological Surgery | 1365 Clifton Rd Ne Ste B6168, Atlanta, GA 30322-1013 | 2020-01-31 |
| 1790129088 | David Taylor Pearce | Neurological Surgery | 101 Woodruff Cir Suite 6000, Atlanta, GA 30322-0001 | 2013-04-17 |
| 1932467594 | Kumar Vasudevan | Neurological Surgery | 980 Johnson Ferry Rd Ste 490, Atlanta, GA 30342-1607 | 2012-05-01 |
| 1316203805 | Kunal Gupta | Neurological Surgery | Emory Hospital 1364 Clifton Rd Ne, Atlanta, GA 30322-0001 | 2012-04-09 |
| 1407146772 | Nicholas Au Yong | Neurological Surgery | 1365b Clifton Rd Ne Ste 6200, Atlanta, GA 30322-1013 | 2011-04-07 |
| 1275763591 | Aqueel Hussain Pabaney | Neurological Surgery | Emory University Neurosurgery 1365 Clifton Road Ne, Atlanta, GA 30322-1226 | 2009-07-21 |
| 1720213895 | Steven Mark Spitz | Neurological Surgery | 57 Executive Park S # 2000, Orthopaedics and Spine Center, Atlanta, GA 30329-2288 | 2009-05-19 |
| 1124268313 | Nettleton S Payne II | Neurological Surgery | 3586 Tuxedo Park Nw, Atlanta, GA 30305-1041 | 2009-02-27 |
| 1326120866 | Polaris Spine and Neurosurgery Center | Neurological Surgery | 1150 Hammond Dr., Bldg E #400, Atlanta, GA 30328 | 2006-10-20 |
| 1154413011 | David Cory Adamson | Neurological Surgery | 1365 Clifton Rd Ne Ste 2200, Atlanta, GA 30322-0001 | 2006-09-29 |
| Find all providers in ATLANTA | ||||
Please comment or provide details below to improve the information on SPINE & SACROILIAC SPECIALISTS, LLC.
| 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.