SOUTH ATLANTA MEDICAL CARE (NPI# 1912288457) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912288457 |
| Entity Type | Organization |
| Organization Name | SOUTH ATLANTA MEDICAL CARE |
| Practice Address |
6525 Professional Pl Ste B Riverdale GA 30274-2519 |
| Practice Telephone | (404) 254-5496 |
| Practice Fax Number | 4042545829 |
| Mailing Telephone | (404) 254-5496 |
| Mailing Fax Number | 4042545829 |
| Enumeration Date | 2011-08-29 |
| Last Update Date | 2019-02-12 |
| Authorized Official Name | TUSHAR NARROTTAM (MANAGER) |
| Authorized Official Telephone | 4048673584 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 20280 | GA | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 20280 | GA | Allopathic & Osteopathic Physicians |
| N | 207KA0200X |
Allergy & Immunology Specialization: Allergy |
20280 | GA | Allopathic & Osteopathic Physicians |
| N | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
20280 | GA | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | 20280 | GA | Allopathic & Osteopathic Physicians |
| Y | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
61081 | GA | Allopathic & Osteopathic Physicians |
| N | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
20280 | GA | Allopathic & Osteopathic Physicians |
| N | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
20280 | GA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4945 Governors Dr, Forest Park, GA 302972134 | 4042545496 | 4042545829 |
| Street Address |
6525 PROFESSIONAL PL STE B |
| City | RIVERDALE |
| State | GA |
| Zip Code | 30274-2519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245862507 | Todd L. Reed | Chiropractor | 83 Upper Riverdale Rd, Riverdale, GA 30274 | 2020-02-05 |
| 1487135992 | Freddie L Sallette IIi | Technician, Pathology | 385 Brookview Dr, Riverdale, GA 30274 | 2018-08-22 |
| 1366933210 | Dawn A. Paul | Nurse Practitioner | 238 Professional Ct Ste A, Riverdale, GA 30274 | 2018-05-27 |
| 1851894588 | Absolute Health Family & Urgent Care Clinic | Clinic/Center | 7574 Ga 85, Riverdale, GA 30274 | 2018-03-08 |
| 1366972127 | Jamillah Ingram | Physical Therapy Assistant | 315 Upper Riverdale Rd., Riverdale, GA 30274 | 2017-06-14 |
| 1114456514 | Grace L Kelson | Licensed Practical Nurse | 9142 Clubhouse Dr, Riverdale, GA 30274 | 2017-06-08 |
| 1790167799 | Cristian Carbuccia | Internal Medicine | 33 Upper Riverdale Rd Sw Ste 10, Riverdale, GA 30274 | 2015-06-25 |
| 1265857692 | Right Choice Enterprises LLC | Technician | 638 Sterling Ct, Riverdale, GA 30274 | 2014-02-21 |
| 1942571625 | Lowes Guardian Angel LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7056 Eunice Dr., Riverdale, GA 30274 | 2012-01-26 |
| 1508134156 | Education System Management, Inc | Social Worker | 125 Highway 138, Riverdale, GA 30274 | 2011-12-12 |
| Find all providers in zip 30274 | ||||
| Taxonomy Code | 208VP0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Pain Medicine |
| Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient’s pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies. |
| Notes: Source: American Academy of Pain Medicine, www.painmed.org - Additional Resources:The American Board of Pain Medicine provides Board Certification. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801239298 | Advance Medical Health Service Inc | Pain Medicine | 6525 Professional Pl, Suite C, Riverdale, GA 30274-2519 | 2013-04-16 |
| 1437494523 | Candid Medical Center, LLC | Pain Medicine | 6525 Professional Pl, Suite C, Riverdale, GA 30274-2519 | 2012-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821616830 | Georgia Pain and Wellness Center, LLC | Pain Medicine | 1357 Hembree Rd Ste 220, Roswell, GA 30076-5722 | 2020-07-07 |
| 1902424914 | Georgia Pain and Wellness Center, LLC | Pain Medicine | 1504 N Thornton Ave Ste 103, Dalton, GA 30720-8394 | 2020-07-07 |
| 1144865528 | Lionel Terry Johnson | Pain Medicine | 5825 Glenridge Dr Ste 2-212, Atlanta, GA 30328-5394 | 2019-11-09 |
| 1750931168 | Georgia Pain and Wellness Center, LLC | Pain Medicine | 100 Liberty Blvd Ste 210, Canton, GA 30114-2852 | 2019-09-17 |
| 1639637762 | Tmc Tanner Pain Management Inc | Pain Medicine | 150 Henry Burson Ave Ste 110, Carrollton, GA 30117-4408 | 2019-03-07 |
| 1811454820 | Healthmed Interventional Pain Management | Pain Medicine | 4535 Winters Chapel Rd Ste B, Doraville, GA 30360-2705 | 2019-02-26 |
| 1639641384 | Spine Center Atlanta North, LLC | Pain Medicine | 3540 Duluth Park Ln Ste 120, Duluth, GA 30096-3200 | 2018-12-19 |
| 1144707001 | Thrive Medical Partners LLC | Pain Medicine | 1498 Jesse Jewell Pkwy Se Ste A, Gainesville, GA 30501-3874 | 2018-07-24 |
| 1861909533 | Comprehensive Spine & Pain LLC | Pain Medicine | 939 Bob Arnold Blvd Ste G, Lithia Springs, GA 30122-3258 | 2018-01-04 |
| 1194274001 | Spine Center Atlanta East, LLC | Pain Medicine | 1309 Wellbrook Cir., Ste H, Conyers, GA 30012-3873 | 2016-10-04 |
| 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.