SPINE CENTER MACON, LLC (NPI# 1588147060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588147060 |
| Entity Type | Organization |
| Organization Name | SPINE CENTER MACON, LLC |
| Practice Address |
3356 Vineville Ave Macon GA 31204-2328 |
| Mailing Address |
3161 Howell Mill Rd Nw Ste 310 Atlanta GA 30327-2132 |
| Practice Telephone | 4043515812 |
| Mailing Telephone | 4043515812 |
| Enumeration Date | 2018-09-11 |
| Last Update Date | 2018-09-11 |
| Authorized Official Name | JAMES CHAPPUIS (OWNER) |
| Authorized Official Telephone | 4043515812 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
3356 VINEVILLE AVE |
| City | MACON |
| State | GA |
| Zip Code | 31204-2328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053392068 | Carlos Jorge Giron | Pain Medicine | 3356 Vineville Ave, Macon, GA 31204-2328 | 2005-11-07 |
| 1164995171 | Meredith Fleenor | Nurse Practitioner | 3356 Vineville Ave, Macon, GA 31204-2328 | 2019-01-03 |
| 1235385931 | Pharmalab,llc | Specialist | 3356 Vineville Ave, Macon, GA 31204-2328 | 2008-08-13 |
| 1861671935 | Andrada Physical Therapy, Inc | Clinic/Center | 3356 Vineville Ave, Ste C, Macon, GA 31204-2328 | 2007-10-25 |
| 1447388574 | Macon Pain Center, P.C. | Clinic/Center | 3356 Vineville Ave, Macon, GA 31204-2328 | 2007-03-01 |
| 1265560379 | Georgia Pain Institute. LLC | Pain Medicine | 3356 Vineville Ave, Macon, GA 31204-2328 | 2007-03-01 |
| 1033196761 | Julian M Earls Jr. | Psychiatry & Neurology | 3356 Vineville Ave, Macon, GA 31204-2328 | 2005-12-22 |
| 1306823034 | Grace Duque-dizon | Pain Medicine | 3356 Vineville Ave, Macon, GA 31204-2328 | 2005-12-22 |
| 1699756361 | Preston Chandler Delaperriere | Anesthesiology | 3356 Vineville Ave, Macon, GA 31204-2328 | 2005-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942775085 | Amy Lynn Miller | Counselor | 890 Northwoods Plaza/burrus Road, Macon, GA 31204 | 2018-10-04 |
| 1275056566 | Kenyada Moss | Counselor | 762 Thurmond Dr., Macon, GA 31204 | 2017-07-19 |
| 1508303876 | Amber Foster | Counselor | 890 Northwoods Plaza, Macon, GA 31204 | 2017-01-25 |
| 1952757585 | Sarah Vanselous Spencer | Speech-Language Pathologist | 2720 Sheraton Dr # D-140, Macon, GA 31204 | 2016-05-12 |
| 1952706343 | Matthew Wayne Frazier | Pharmacist | 4260 Log Cabin Dr, Macon, GA 31204 | 2014-10-28 |
| 1215338587 | Sharon Yvette Flewellen | Licensed Practical Nurse | 1876 Moore Street, Macon, GA 31204 | 2014-09-05 |
| 1336565647 | Accel Wellness Center, LLC | Specialist | 3083 Vineville Avenue, Macon, GA 31204 | 2014-03-11 |
| 1821439811 | Irene Gung Ho | Physician Assistant | 3203 Vineville Ave Ste A, Macon, GA 31204 | 2013-07-08 |
| 1518125657 | Jennifer Burns | Marriage & Family Therapist | 116 Pierce Avenue, Macon, GA 31204 | 2008-05-27 |
| 1255599346 | Methodist Home of The South Georgia Conference, Inc. | Voluntary or Charitable | 304 Pierce Avenue, Macon, GA 31204 | 2008-05-27 |
| Find all providers in zip 31204 | ||||
| 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 | ||||
Please comment or provide details below to improve the information on SPINE CENTER MACON, 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.