JEREMY JACOB PRINE (NPI# 1508000332) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508000332 |
| Entity Type | Individual |
| Full Name | JEREMY JACOB PRINE |
| Credential | M.D. |
| Practice Address |
3200 Riverside Dr Bldg C Macon GA 31210-2550 |
| Practice Telephone | 4784742947 |
| Practice Fax Number | 4789714004 |
| Mailing Telephone | 4784742947 |
| Mailing Fax Number | 4789714004 |
| Enumeration Date | 2009-04-23 |
| Last Update Date | 2014-10-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
071618 | GA | Allopathic & Osteopathic Physicians |
| N | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
071618 | GA | Allopathic & Osteopathic Physicians |
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
L071618 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
3200 RIVERSIDE DR BLDG C |
| City | MACON |
| State | GA |
| Zip Code | 31210-2550 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376524363 | Darby Physical Therapy Associates | Occupational Therapy Assistant | 3200 Riverside Dr, Suite 300-a, Macon, GA 31210-2550 | 2005-11-08 |
| 1578999033 | Robert C Jones Md LLC | Clinic/Center | 3200 Riverside Dr, Ste B300, Macon, GA 31210-2550 | 2013-09-16 |
| 1821423112 | Ensphere Resources, LLC | Specialist | 3200 Riverside Dr, Suite B275, Macon, GA 31210-2550 | 2013-09-05 |
| 1336256411 | Robert Adam Medrzycki | Physical Therapist | 3200 Riverside Dr, Suite 300-a, Macon, GA 31210-2550 | 2006-08-24 |
| 1518978824 | Stacy L Hamlin | Physical Therapy Assistant | 3200 Riverside Dr, Suite 300-a, Macon, GA 31210-2550 | 2006-08-11 |
| 1063423432 | Frederick W Sitterding | Occupational Therapist | 3200 Riverside Dr, Suite 300-a, Macon, GA 31210-2550 | 2006-08-11 |
| 1619988995 | Amy M Tyler | Physical Therapy Assistant | 3200 Riverside Dr, Suite 300-a, Macon, GA 31210-2550 | 2006-08-11 |
| 1134168115 | Coliseum Health Group, LLC | Family Medicine | 3200 Riverside Dr, Macon, GA 31210-2550 | 2006-06-06 |
| 1215995659 | Sunshine Resources | Occupational Therapist | 3200 Riverside Dr, Suite 300-a, Macon, GA 31210-2550 | 2006-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033743455 | Dana Elizabeth Toth | Nurse Practitioner | 5300 Bowman Rd, Macon, GA 31210 | 2020-02-25 |
| 1871124735 | Jessica Bello | Nurse Practitioner | 5300 Bowman Road, Macon, GA 31210 | 2020-01-30 |
| 1225505787 | Rebekah Hollinshead | Occupational Therapist | Therapy Specialists of Georgia, 4116 Arkwright Road, Macon, GA 31210 | 2018-11-01 |
| 1346744943 | Ace Medical Transport LLC. | Ambulance | 728 Gay Dr, Macon, GA 31210 | 2018-03-20 |
| 1972965226 | Omar Faruk Ahmad | Family Medicine | 3400 Riverside Drvie, Macon, GA 31210 | 2016-03-25 |
| 1083074868 | Macon Dentist Office, PC | Dentist | 206 Tom Hill Sr Blvd, Suite 106, Macon, GA 31210 | 2016-03-07 |
| 1992176952 | Kerisia Wasztyl | Marriage & Family Therapist | 4691 Pine Valley Dr, Macon, GA 31210 | 2015-10-15 |
| 1073905444 | Eunice Malave De Leon | Social Worker | 174 Spring St, Macon, GA 31210 | 2015-02-23 |
| 1396141545 | Axis Surgery Center LLC | Clinic/Center | 230 Sheraton Blvd, Ste B, Macon, GA 31210 | 2014-11-17 |
| 1073914115 | Monique Rechelle Delay Moore | Community/Behavioral Health | 646 Millrun Court, Macon, GA 31210 | 2014-09-09 |
| Find all providers in zip 31210 | ||||
| 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 |
|---|---|---|---|---|
| 1053392068 | Carlos Jorge Giron | Pain Medicine | 3356 Vineville Ave, Macon, GA 31204-2328 | 2005-11-07 |
| 1265560379 | Georgia Pain Institute. LLC | Pain Medicine | 3356 Vineville Ave, Macon, GA 31204-2328 | 2007-03-01 |
| 1306823034 | Grace Duque-dizon | Pain Medicine | 3356 Vineville Ave, Macon, GA 31204-2328 | 2005-12-22 |
| 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 | ||||
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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.