GEORGIA PAIN AND WELLNESS, LLC (NPI# 1457690554) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457690554 |
| Entity Type | Organization |
| Organization Name | GEORGIA PAIN AND WELLNESS, LLC |
| Practice Address |
552 Ponce De Leon Ave Ne Atlanta GA 30308-1806 |
| Practice Telephone | 6782352401 |
| Practice Fax Number | 6782352403 |
| Mailing Telephone | 6782352401 |
| Mailing Fax Number | 6782352403 |
| Enumeration Date | 2013-02-08 |
| Last Update Date | 2013-02-08 |
| Authorized Official Name | REGINA BANKS (OFFICE MGR) |
| Authorized Official Telephone | 6782352401 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP3300X |
Clinic/Center Specialization: Pain |
Ambulatory Health Care Facilities | ||
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Street Address |
552 PONCE DE LEON AVE NE |
| City | ATLANTA |
| State | GA |
| Zip Code | 30308-1806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396791950 | Erwin Osiris Cruz | Nurse Practitioner | 552 Ponce De Leon Ave Ne, Atlanta, GA 30308-1806 | 2006-05-25 |
| 1740738095 | Ponce De Leon Surgery Center, LLC | Clinic/Center | 552 Ponce De Leon Ave Ne, Atlanta, GA 30308-1806 | 2016-09-15 |
| 1154761385 | Georgia Wellness Associates | Clinic/Center | 552 Ponce De Leon Ave Ne, Atlanta, GA 30308-1806 | 2013-07-02 |
| 1770646747 | Dialysis Access Center of Atlanta | Specialist | 552 Ponce De Leon Ave Ne, Atlanta, GA 30308-1806 | 2006-12-19 |
| 1740291178 | Jack Work | Internal Medicine | 552 Ponce De Leon Ave Ne, Dialysis Access Ctr of Atlanta - Nephrology, Atlanta, GA 30308-1806 | 2006-08-10 |
| 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 | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154937050 | Staywellatl,llc | Clinic/Center | 2550 Heritage Ct Se Ste 135, Atlanta, GA 30339-3528 | 2020-09-17 |
| 1164035564 | The Lotus Haven PC | Clinic/Center | 950 Dannon Vw Sw Ste 4101, Atlanta, GA 30331-2159 | 2020-08-25 |
| 1801429105 | Pt Hills Place Terraces LLC | Clinic/Center | 229 Peachtree Hills Ave Ne, Atlanta, GA 30305-4411 | 2020-02-15 |
| 1194363382 | Arcd and Weightloss Management | Clinic/Center | 265 18th St Nw Ste 2823, Atlanta, GA 30363-1125 | 2019-12-18 |
| 1134775208 | Naesm Mens Health and Wellness Center | Clinic/Center | 2140 Martin Luther King Jr Dr Sw Ste 201, Atlanta, GA 30310 | 2019-08-14 |
| 1427532225 | River Acupuncture Inc | Clinic/Center | 5441 Buford Hwy Ne Ste 203, Atlanta, GA 30340-1168 | 2018-09-18 |
| 1093208381 | Tonova Audiometrics, LLC | Clinic/Center | 677b Alta Pl Nw, Atlanta, GA 30318-6364 | 2018-06-11 |
| 1841708682 | Aica Orthopedics, P.C. | Clinic/Center | 2045 Peachtree Rd Ne Ste 700, Atlanta, GA 30309-1417 | 2018-01-15 |
| 1407361702 | Buckhead Cosmetic and Family Dentistry LLC | Clinic/Center | 316 Pharr Rd Ne, Atlanta, GA 30305-2304 | 2017-12-08 |
| 1366952749 | Cancer Screening of America | Clinic/Center | 1 Baltimore Pl Nw Ste 240, Atlanta, GA 30308-2116 | 2017-10-11 |
| Find all providers in ATLANTA | ||||
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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.