ATLANTA SPORTS AND SPINE LLC (NPI# 1720439136) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720439136 |
| Entity Type | Organization |
| Organization Name | ATLANTA SPORTS AND SPINE LLC |
| Other Organization Name | SPORTS AND SPINE INSTITUTE |
| Practice Address |
2340 Patrick Henry Pkwy 150 Mcdonough GA 30253-4325 |
| Practice Telephone | 6788663646 |
| Practice Fax Number | 6788046862 |
| Mailing Telephone | 6788663646 |
| Mailing Fax Number | 6788046862 |
| Enumeration Date | 2016-06-27 |
| Last Update Date | 2018-05-11 |
| Authorized Official Name | DR. AMRISH DINUBHAI PATEL (CEO/OWNER) |
| Authorized Official Telephone | 7065803607 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 204R00000X | Electrodiagnostic Medicine | 067950 | GA | Allopathic & Osteopathic Physicians |
| N | 2081S0010X |
Physical Medicine & Rehabilitation Specialization: Sports Medicine |
067950 | GA | Allopathic & Osteopathic Physicians |
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
067950 | GA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Sports and Spine Institute | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3939 Roswell Rd Ste 240, Marietta, GA 300626285 | 6788663646 | 6788046862 |
| Street Address |
2340 PATRICK HENRY PKWY 150 |
| City | MCDONOUGH |
| State | GA |
| Zip Code | 30253-4325 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134125248 | Richard Eric Paul | Dentist | 2340 Patrick Henry Pkwy, Ste 100, Mcdonough, GA 30253-4214 | 2005-06-23 |
| 1245689777 | Sports and Spine Institute | Physical Medicine & Rehabilitation | 2340 Patrick Henry Pkwy, 150, Mcdonough, GA 30253-4325 | 2016-06-06 |
| 1336457530 | 3d Partners, LLC | Counselor | 2340 Patrick Henry Pkwy, Ste 225, Mcdonough, GA 30253-4325 | 2010-09-22 |
| 1346473220 | Richard E. Paul Dmd PC | Oral & Maxillofacial Surgery | 2340 Patrick Henry Pkwy, Suite 100, Mcdonough, GA 30253-4216 | 2009-08-26 |
| 1346470697 | Amarasinghe Amarasinghe | Psychiatry & Neurology | 2340 Patrick Henry Pkwy, Ste 225, Mcdonough, GA 30253-4216 | 2009-07-21 |
| 1760612345 | Ahmed Medical Center, Inc. | Psychiatry & Neurology | 2340 Patrick Henry Pkwy, Suite 225, Mcdonough, GA 30253-4216 | 2009-07-17 |
| 1871755025 | Amrish Patel | Physical Medicine & Rehabilitation | 2340 Patrick Henry Pkwy, Suite 150, Mcdonough, GA 30253-4325 | 2008-06-30 |
| 1811169873 | Verona Lawson, M.d. LLC | Psychiatry & Neurology | 2340 Patrick Henry Pkwy, Suite 225, Mcdonough, GA 30253-4214 | 2008-03-31 |
| 1417140724 | Connie Jorgensen Msrncs | Clinical Nurse Specialist | 2340 Patrick Henry Pkwy, Ste 225, Mcdonough, GA 30253-4214 | 2007-08-20 |
| 1124179759 | Alan Weinberg, Md | Psychiatry & Neurology | 2340 Patrick Henry Pkwy, Ste 225, Mcdonough, GA 30253-4214 | 2007-01-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518565159 | First Choice Home Health Care LLC | In Home Supportive Care | 600 Westridge Parkway, Suite 707, Mcdonough, GA 30253 | 2020-10-15 |
| 1164033783 | Tanequa S Dorsey | Counselor | 40 Macon Street, Suite D, Mcdonough, GA 30253 | 2020-08-17 |
| 1396369195 | Ikponmwosa Obakpolor | Physical Therapist | 234 Village Drive, Mcdonough, GA 30253 | 2020-06-08 |
| 1205392305 | Healthstat Onsite Clinic-henry County | Preventive Medicine | 141 Henry Parkway, Healthstat Clinic, Mcdonough, GA 30253 | 2019-02-13 |
| 1588128557 | Vernette R Mathurin | Licensed Practical Nurse | 97 Atl Street Suite 100, Mcdonough, GA 30253 | 2019-01-24 |
| 1083196836 | Peta-gaye C Pilote | Registered Nurse | 319 Regal Way E, Mcdonough, GA 30253 | 2018-08-29 |
| 1275021586 | Heritage Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 155 Westridge Pkwy Ste 217, Mcdonough, GA 30253 | 2018-04-23 |
| 1457853236 | Sherrille Greene | Counselor | 609 Autumn Leaf Circle, Mcdonough, GA 30253 | 2018-03-07 |
| 1376052696 | Kendra Oreggio | Private Vehicle | 117 Janney Circle, Mcdonough, GA 30253 | 2017-09-29 |
| 1245758788 | Pamela Hobbs | Home Health Aide | 5011 Monarch Dr, Mcdonough, GA 30253 | 2017-09-05 |
| Find all providers in zip 30253 | ||||
| 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 |
|---|---|---|---|---|
| 1871755025 | Amrish Patel | Physical Medicine & Rehabilitation | 2340 Patrick Henry Pkwy, Suite 150, Mcdonough, GA 30253-4325 | 2008-06-30 |
| 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 |
| 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.