CHRONIC PAIN CLINICS OF AMERICA LLC


Address: 1395 S Marietta Pkwy Se, Bldg 100 Ste 101, Marietta, GA 30067-4440
Phone: 7704258700

CHRONIC PAIN CLINICS OF AMERICA LLC (NPI# 1417054669) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1417054669
Entity Type Organization
Organization Name CHRONIC PAIN CLINICS OF AMERICA LLC
Practice Address 1395 S Marietta Pkwy Se
Bldg 100 Ste 101
Marietta
GA 30067-4440
Practice Telephone 7704258700
Practice Fax Number 7704258740
Mailing Telephone 7704258700
Mailing Fax Number 7704258740
Enumeration Date 2006-09-20
Last Update Date 2020-08-22
Authorized Official Name MR. GARY STUDENIC (CEO)
Authorized Official Telephone 4047847722
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174400000X Specialist Other Service Providers

Office Location

Street Address 1395 S MARIETTA PKWY SE
BLDG 100 STE 101
City MARIETTA
State GA
Zip Code 30067-4440

Providers in the same location

NPI Name Taxonomy Address Enumeration
1740267640 Eric David Solomon Physical Medicine & Rehabilitation 1395 S Marietta Pkwy Se, Bldg 100 Ste 102, Marietta, GA 30067-4440 2005-12-30
1417576455 Davis, Paquette, and Molineaux Holdings, LLC Non-emergency Medical Transport (VAN) 1395 S Marietta Pkwy Se, Ste 730 Office A, Marietta, GA 30067 2020-04-09
1851842652 Philip Garofano Nurse Practitioner 1395 S Marietta Pkwy Se, Marietta, GA 30067-4440 2016-10-18
1982153359 Agape Chronic Care, LLC Clinical Nurse Specialist 1395 S Marietta Pkwy Se, Suite 730, Marietta, GA 30067-4440 2016-09-27
1013308923 Sarah Winter Physical Therapy Assistant 1395 S Marietta Pkwy Se, Bldg. 200 Ste 212, Marietta, GA 30067-4440 2015-02-13
1194128447 Procare Medical Group, LLC Physical Medicine & Rehabilitation 1395 S Marietta Pkwy Se, Bldg 100 Suite 102, Marietta, GA 30067-4440 2014-10-01
1689017352 Lincare Inc Durable Medical Equipment & Medical Supplies 1395 S Marietta Pkwy Se, Ste 910, Marietta, GA 30067-4440 2013-04-12
1184997439 Northside Psychological Services, Inc. Psychologist 1395 S Marietta Pkwy Se, Bldg. 400, Suite 112, Marietta, GA 30067-4440 2012-02-16
1679749758 The Harville Group Pharmacy 1395 S Marietta Pkwy Se, Bldg 400-105, Marietta, GA 30067-4440 2008-05-07
1477679488 David L. Cook Optometrist 1395 S Marietta Pkwy Se, Bld. 400, Ste. 116, Marietta, GA 30067-4440 2007-03-21
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1689140022 Sherry Wilson King Marriage & Family Therapist 1640 Powers Ferry Rd Blg 7, Ste 300, Marietta, GA 30067 2018-10-23
1053886861 Precious Angel Home Care Services Inc Adult Companion 2470 Windy Hill Road, Marietta, Suite 253, Marietta, GA 30067 2018-10-08
1194206466 Joshua P Moree Chiropractor 860 Franklin Gtwy Se Apt 111, Marietta, GA 30067 2018-08-24
1841778081 Sun Pediatrics LLC Pediatrics 2520 Windy Hill Rd Se Ste 104, Marietta, GA 30067 2018-07-31
1508358714 Mbs Wellness Group, LLC Durable Medical Equipment & Medical Supplies 62 Shawnee Trail Se, Marietta, GA 30067 2018-06-04
1497254213 Allison M Jancik Chiropractor 1355 Terrell Mill Road Se, Bldg 1474, Ste 150, Marietta, GA 30067 2018-02-07
1801304969 Danielle Ann Dietrich Chiropractor 805 Winterset Pkwy Se, Marietta, GA 30067 2018-01-11
1740794866 Jessica Lofgren Chiropractor 1130 Northchase Pkwy Se Ste 125, Marietta, GA 30067 2017-11-28
1871026393 Rhonda Dawes Milner Counselor 1640 Powers Ferry Rd Bldg 16, Suite 100, Marietta, GA 30067 2017-04-11
1457894537 Carcelia Delk Counselor 1110 Augusta Dr Se, Marietta, GA 30067 2016-11-22
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Taxonomy Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1104286707 B Webb, Inc Specialist 1675 Lower Roswell Rd, Marietta, GA 30318 2016-02-25
1982077889 Jane A Cases Md Comprehensive Lifestyle Center LLC Specialist 242 Pike St, Marietta, OH 45750-3322 2015-11-02
1578971180 April Harris Specialist 3015 Canton Rd Ste 11, Marietta, GA 30066-3878 2014-07-27
1306259031 Gary Studenic Specialist 1395 S Marietta Pkwy Se Ste 102, Marietta, GA 30067-7852 2014-06-10
1992115448 Strategic Billing Solutions, LLC Specialist 1205 Wynnes Ridge Cir Se, Marietta, GA 30067-8452 2014-05-06
1912326349 Kayla Kendall Specialist 219 2nd St, Suite 206, Marietta, OH 45750-8062 2014-04-14
1235569401 Mitchell Jablow Specialist 3641 Clubland Dr, Marietta, GA 30068-4003 2013-11-25
1336579101 Christine Thomas Specialist 406 Scammel St, Marietta, OH 45750-2009 2013-11-15
1922379304 The Injury Wellness Surgical and Procedure Institute LLC Specialist 2483 Powder Springs Rd Sw, Ste C, Marietta, GA 30064-4573 2012-01-18
1235440264 Silasmasih In-home Therapy Services,llc Specialist 184 Parkstone Way, Marietta, GA 30066-4977 2010-06-24
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Competitor

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City MARIETTA
Zip Code 30067

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Dataset Information

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.

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