GEORGIA PAIN AND WELLNESS CENTER, LLC (NPI# 1356781181) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356781181 |
| Entity Type | Organization |
| Organization Name | GEORGIA PAIN AND WELLNESS CENTER, LLC |
| Other Organization Name | SUMMIT SPINE AND JOINT CENTERS |
| Practice Address |
455 Philip Blvd Bldg 100, Ste 140 Lawrenceville GA 30046-8767 |
| Practice Telephone | 7709623642 |
| Practice Fax Number | 7709623643 |
| Mailing Telephone | 7709623642 |
| Enumeration Date | 2013-06-25 |
| Last Update Date | 2019-12-31 |
| Authorized Official Name | CURRETTA MOON (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 7709623642 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
062929 | GA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Summit Spine and Joint Centers | Doing Business As Name - Organization |
| Summit Spine and Joint Centers, LLC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821616830 | Georgia Pain and Wellness Center, LLC | Pain Medicine | 1357 Hembree Rd Ste 220, Roswell, GA 30076-5722 | 2020-07-07 |
| 1902424914 | Georgia Pain and Wellness Center, LLC | Pain Medicine | 1504 N Thornton Ave Ste 103, Dalton, GA 30720-8394 | 2020-07-07 |
| 1750931168 | Georgia Pain and Wellness Center, LLC | Pain Medicine | 100 Liberty Blvd Ste 210, Canton, GA 30114-2852 | 2019-09-17 |
| 1346752854 | Georgia Pain and Wellness Center, LLC | Durable Medical Equipment & Medical Supplies | 1780 Oak Rd, Snellville, GA 30078-2202 | 2017-10-25 |
| Street Address |
455 PHILIP BLVD BLDG 100, STE 140 |
| City | LAWRENCEVILLE |
| State | GA |
| Zip Code | 30046-8767 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881635373 | Carole L Cunningham | Physical Therapist | 455 Philip Blvd, Bldg 100, Ste 160, Lawrenceville, GA 30046-8767 | 2006-06-08 |
| 1487109898 | Kari Alene Craker | Physical Therapist | 455 Philip Blvd, Bldg 100-160, Lawrenceville, GA 30046 | 2016-08-16 |
| 1316313356 | Stephanie Kay Lievense | Physical Therapist | 455 Philip Blvd, Bldg 100-160, Lawrenceville, GA 30046-8767 | 2015-08-13 |
| 1285031245 | Dalandra Belcher | Nurse Practitioner | 455 Philip Blvd, Lawrenceville, GA 30046-8767 | 2014-11-19 |
| 1801295456 | Dwayne Emmanuel Perry | Physical Therapist | 455 Philip Blvd, Bldg 100, Ste 160, Lawrenceville, GA 30046-8767 | 2014-08-20 |
| 1033437629 | Kaiser Permanente | Clinical Medical Laboratory | 455 Philip Blvd, Suite 130, Lawrenceville, GA 30046-8767 | 2010-05-07 |
| 1386834117 | Amit Patel | Anesthesiology | 455 Philip Blvd, Suite 140, Lawrenceville, GA 30046-8767 | 2007-07-27 |
| 1366559304 | Malynda Ann Carruth | Physical Therapist | 455 Philip Blvd, Bldg 100, Suite 160, Lawrenceville, GA 30046-8767 | 2006-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063023174 | Alpha & Omega Hearing Centers | Hearing Instrument Specialist | Alpha & Omega Hearing Centers, 250 Langley Drive, Suite 1106, Lawrenceville, GA 30046 | 2020-08-12 |
| 1285259846 | Mesun Health Services, Inc | Clinical Nurse Specialist | 88 Johnson Rd Building # 1-b, Lawrenceville, GA 30046 | 2020-06-10 |
| 1215550264 | Mesun Health Services, Inc | Skilled Nursing Facility | 88 Johnson Rd. Building #2, Lawrenceville, GA 30046 | 2020-05-26 |
| 1306499785 | Bryan Acosta | Chiropractor | 471 Scenic Hwy South, Lawrenceville, GA 30046 | 2019-07-24 |
| 1205308616 | Belle Lumiere Cosmetics LLC | Dermatology | 753 Old Norcross Road, Lawrenceville, GA 30046 | 2018-12-24 |
| 1548730179 | Alexis Nicole Robinson | Nurse Anesthetist, Certified Registered | 1000 Medical Center Boulevard, Lawrenceville, GA 30046 | 2018-11-27 |
| 1679060388 | Christopher Puckett | Student in an Organized Health Care Education/Training Program | 665 Duluth Hwy Suite 501, Lawrenceville, GA 30046 | 2018-04-18 |
| 1457851255 | Advanced Urology Institute of Georgia | Urology | 501 Crown Point Way, Lawrenceville, GA 30046 | 2018-02-19 |
| 1013447044 | Pharmacy Investments of Lawrenceville, LLC | Pharmacy | 738 Old Norcross Road, Ste A, Lawrenceville, GA 30046 | 2017-06-13 |
| 1225577000 | Priority Housecalls LLC | Clinic/Center | 225 Scenic Hwy, Ste 200, Lawrenceville, GA 30046 | 2017-02-14 |
| Find all providers in zip 30046 | ||||
| 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 |
|---|---|---|---|---|
| 1790144673 | Interventional Spine and Pain Management Center, PC | Pain Medicine | 4799 Sugarloaf Pkwy, Suite 1500, Lawrenceville, GA 30044-8836 | 2016-02-19 |
| 1740529080 | Princeton Pain and Spine Institute PC | Pain Medicine | 123 Franklin Corner Rd, Suite 104, Lawrenceville, NJ 08648-2526 | 2013-02-06 |
| 1306162037 | Srinand Mandyam | Pain Medicine | 455 Philip Blvd Ste 140, Lawrenceville, GA 30046-8768 | 2010-04-20 |
| 1689816860 | Performance Spine & Sports Medicine | Pain Medicine | 4056 Quakerbridge Road, Suite 111, Lawrenceville, NJ 08648-1005 | 2009-04-02 |
| 1578507893 | Dinash Kumar Yanamadula | Pain Medicine | 123 Franklin Corner Rd, Suite 104, Lawrenceville, NJ 08648-2526 | 2006-06-16 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | LAWRENCEVILLE |
| Zip Code | 30046 |
Please comment or provide details below to improve the information on GEORGIA PAIN AND WELLNESS CENTER, 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.