PAIN CONTROL & REHABILITATION INSTITUTE OF GEORGIA, INC. (NPI# 1548302979) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1548302979 |
Entity Type | Organization |
Organization Name | PAIN CONTROL & REHABILITATION INSTITUTE OF GEORGIA, INC. |
Practice Address |
2784 N Decatur Rd Suite 120 Decatur GA 30033-5903 |
Practice Telephone | 4042971400 |
Practice Fax Number | 4042971427 |
Enumeration Date | 2007-02-13 |
Last Update Date | 2013-02-14 |
Authorized Official Name | ANNA BRITMAN (OFFICE MANAGER) |
Authorized Official Telephone | 4042971400 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians |
Street Address |
2784 N DECATUR RD SUITE 120 |
City | DECATUR |
State | GA |
Zip Code | 30033-5903 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558375626 | James P Kennedy | Dentist | 2784 N Decatur Rd, Ste 110, Decatur, GA 30033-5903 | 2006-07-27 |
1073097168 | Jasmine Hunter Winbush | Psychologist | 2784 N Decatur Rd, Decatur, GA 30033-5903 | 2018-09-24 |
1225417454 | Russell Godwin | Social Worker | 2784 N Decatur Rd, Decatur, GA 30033-5903 | 2015-05-20 |
1164864757 | Leslie Sessley | Social Worker | 2784 N Decatur Rd, Ste 145, Decatur, GA 30033-5903 | 2013-07-23 |
1013265131 | Ryan Wright Kennedy | Dentist | 2784 N Decatur Rd, Ste 110, Decatur, GA 30033-5903 | 2012-08-21 |
1275708315 | Allied Ankle & Footcare Centers PC | Podiatrist | 2784 N Decatur Rd, Suite 150, Decatur, GA 30033-5903 | 2008-04-29 |
1639382781 | Lester A Mcgukin | Counselor | 2784 N Decatur Rd, Suite 145, Decatur, GA 30033-5903 | 2007-05-07 |
1073655486 | Lawrence Allen Bradford | Counselor | 2784 N Decatur Rd, Suite 120, Decatur, GA 30033-5903 | 2007-02-13 |
1740358779 | Ofelia G. Gordon | Social Worker | 2784 N Decatur Rd, Suite 145, Decatur, GA 30033-5903 | 2006-11-30 |
1013088335 | Pearla Duncan Wall | Social Worker | 2784 N Decatur Rd, Ste 145, Decatur, GA 30033-5903 | 2006-11-10 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922613785 | Healing Minds, Helping Hearts, LLC | Social Worker | 2532 N Decatur Rd, Apt 1304, Decatur, GA 30033 | 2020-09-09 |
1700412517 | Delana Finney | Orthotist | Vamc - Atlanta, 1670 Clairmont Rd, Decatur, GA 30033 | 2020-03-13 |
1194389353 | Katherine Serafen | Physician Assistant | 2701 N Decatur Road, Ground Floor Suite 520, Decatur, GA 30033 | 2019-04-23 |
1194290973 | Suzanne Johnson | Psychologist | Atlanta Va Health Care System, 1670 Clairmont Rd, Decatur, GA 30033 | 2018-10-09 |
1245705334 | Mcleod Counseling Services, LLC | Clinic/Center | 2801 N. Decatur Rd, Suite 185, Decatur, GA 30033 | 2018-10-04 |
1225514797 | Erkin Mirkhatovich Turganov | Pharmacist | 2951 Cedar Brook Dr, Decatur, GA 30033 | 2018-07-17 |
1356834972 | Sharlencia Lord | Nurse Practitioner | 2738 N Decatur Rd # 292-3173, Decatur, GA 30033 | 2018-06-08 |
1194213140 | Zacarias Yanis Jr. | Clinical Neuropsychologist | 1276 Mcconnell Drive Ste C., Decatur, GA 30033 | 2018-04-25 |
1780181370 | Ryan Patton | Orthopaedic Surgery | 2723 Hollywood Dr, Decatur, GA 30033 | 2018-04-10 |
1437669751 | Sholanda D Hooper | Nurse Practitioner | 1601 Clairmont Rd, Decatur, GA 30033 | 2017-10-02 |
Find all providers in zip 30033 |
Taxonomy Code | 2081P2900X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Physical Medicine & Rehabilitation |
Specialization | Pain Medicine |
A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528180403 | Mark Awoniyi | Physical Medicine & Rehabilitation | 2046 Beltline Rd Sw, Decatur, AL 35601-5549 | 2007-04-04 |
1104396415 | Atlanta Spine, PC | Physical Medicine & Rehabilitation | 2675 N Decatur Rd Ste 401, Decatur, GA 30033-6133 | 2018-11-29 |
1477839769 | North Alabama Rehabilitation and Pain Specialist LLC | Physical Medicine & Rehabilitation | 2046 Beltline Rd Sw, Decatur, AL 35601-5549 | 2011-10-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700490091 | Interventional and Alternative Spine and Wellness, LLC | Physical Medicine & Rehabilitation | 3630 Wheeler Rd, Augusta, GA 30909-6561 | 2020-09-03 |
1881205151 | Georgia Regenrx, LLC. | Physical Medicine & Rehabilitation | 5755 N Point Pkwy Ste 72, Alpharetta, GA 30022-1146 | 2020-08-11 |
1710514989 | Jennifer Meyer | Physical Medicine & Rehabilitation | 1554 Riverstone Pkwy Ste 160, Canton, GA 30114-2887 | 2020-03-26 |
1982172060 | Back To Life Pain Center, LLC | Physical Medicine & Rehabilitation | 410 Creekstone Rdg, Woodstock, GA 30188-3740 | 2018-11-07 |
1760900708 | Neuro Diagnostic Group LLC | Physical Medicine & Rehabilitation | 200 Galleria Pkwy Se Ste 100, Atlanta, GA 30339-5944 | 2017-08-30 |
1386195378 | Pain Management and Rehabilitation | Physical Medicine & Rehabilitation | 4121 Steve Reynolds Blvd, Norcross, GA 30093-3060 | 2016-10-14 |
1124471172 | Pain Management and Rehabilitation | Physical Medicine & Rehabilitation | 4131 Steve Reynolds Blvd, Norcross, GA 30093-3060 | 2016-07-14 |
1043671761 | Pain Management and Rehabilitation Inc | Physical Medicine & Rehabilitation | 3955 Lawrenceville Hwy Nw, Lilburn, GA 30047-2996 | 2016-03-08 |
1356761191 | Simon Matt Willis | Physical Medicine & Rehabilitation | 114 Canal St Ste 503, Pooler, GA 31322-4261 | 2014-04-20 |
1891139663 | Advanced Pain and Rahabilitation PC | Physical Medicine & Rehabilitation | 3030 Mcever Rd Ste 300, Gainesville, GA 30504-5538 | 2013-04-24 |
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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.