INTERVENTIONAL SPINE AND PAIN MANAGEMENT CENTER, PC (NPI# 1932567732) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932567732 |
| Entity Type | Organization |
| Organization Name | INTERVENTIONAL SPINE AND PAIN MANAGEMENT CENTER, PC |
| Practice Address |
3400 Chapel Hill Rd Douglasville GA 30135-1739 |
| Mailing Address |
3390 Peachtree Rd Ne Suite 1500 Atlanta GA 30326-1157 |
| Practice Telephone | 7709299033 |
| Practice Fax Number | 7709299092 |
| Mailing Telephone | 4049204950 |
| Mailing Fax Number | 4049204959 |
| Enumeration Date | 2016-02-08 |
| Last Update Date | 2016-02-08 |
| Authorized Official Name | VICTORIA BECK (CFO) |
| Authorized Official Telephone | 4044038310 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235756792 | Interventional Spine and Pain Management Center, PC | Pain Medicine | 2100 Central Ave Ste 6, Augusta, GA 30904-6709 | 2020-07-01 |
| 1114578515 | Interventional Spine and Pain Management Center, PC | Pain Medicine | 6002 Highway 53 E Ste 110, Dawsonville, GA 30534-6227 | 2019-09-26 |
| 1467014936 | Interventional Spine and Pain Management Center, PC | Pain Medicine | 6920 Mcginnis Ferry Rd Ste 360b, Suwanee, GA 30024-6672 | 2019-07-03 |
| 1265892293 | Interventional Spine and Pain Management Center, PC | Pain Medicine | 6002 Hwy 52 East, Suite 110, Dawsonville, GA 30534 | 2016-03-03 |
| 1083212963 | Interventional Spine and Pain Management Center, PC | Pain Medicine | 1975 Highway 54 W Ste 100, Peachtree City, GA 30269-4794 | 2020-10-13 |
| 1598127540 | Interventional Spine and Pain Management Center, PC | Pain Medicine | 3885 Princeton Lakes Way Sw, Atlanta, GA 30331-5589 | 2016-03-28 |
| 1326409566 | Interventional Spine and Pain Management Center, PC | Pain Medicine | 3885 Princeton Lakes Way Sw, Suite 225, Atlanta, GA 30331-5589 | 2016-03-16 |
| 1972963635 | Interventional Spine and Pain Management Center, PC | Pain Medicine | 5303 Adams St Ne, Suite B, Covington, GA 30014-6208 | 2016-02-24 |
| 1669831327 | Interventional Spine and Pain Management Center, PC | Pain Medicine | 812 S Park St, Suite 5b, Carrollton, GA 30117-4412 | 2016-02-23 |
| 1154780914 | Interventional Spine and Pain Management Center, PC | Pain Medicine | 2675 N Decatur Rd, Suite 303, Decatur, GA 30033-6131 | 2016-02-22 |
| Street Address |
3400 CHAPEL HILL RD |
| City | DOUGLASVILLE |
| State | GA |
| Zip Code | 30135-1739 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154420214 | Felicia L Berry-mitchell | Psychologist | 3400 Chapel Hill Rd, Suite 100 Pmb #08, Douglasville, GA 30135-1739 | 2006-09-22 |
| 1215494752 | Dependable Care LLC | Home Health | 3400 Chapel Hill Rd, Douglasville, GA 30135-1739 | 2019-02-20 |
| 1285188839 | Grace Hearing and Language Services, LLC | Clinic/Center | 3400 Chapel Hill Rd, Douglasville, GA 30135-1739 | 2016-08-12 |
| 1730632290 | Nichelle J Wilson | Audiologist | 3400 Chapel Hill Rd, Douglasville, GA 30135-1739 | 2016-08-01 |
| 1063885929 | Foot and Ankle Specialist of Georgia, LLC | Podiatrist | 3400 Chapel Hill Rd, Suite 321, Douglasville, GA 30135-1739 | 2015-11-02 |
| 1588031769 | Beauvais Home Care LLC | Custodial Care Facility | 3400 Chapel Hill Rd, Suite 309, Douglasville, GA 30135-1739 | 2015-08-24 |
| 1467864553 | National Health and Public Safety | Dietitian, Registered | 3400 Chapel Hill Rd, Suite 100-17, Douglasville, GA 30135-1739 | 2014-05-23 |
| 1982029393 | Canzada Twyman | Counselor | 3400 Chapel Hill Rd, Suite 100, Douglasville, GA 30135-1739 | 2014-02-21 |
| 1114357886 | Kathy Brown-bragg | Social Worker | 3400 Chapel Hill Rd, Douglasville, GA 30135-1739 | 2013-11-18 |
| 1316382948 | Sylvia Krow | Counselor | 3400 Chapel Hill Rd, Douglasville, GA 30135-1739 | 2013-05-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265043301 | Heart & Soul Wellness Solutions LLC | Social Worker | 4752 Pepper Tree Lane, Douglasville, GA 30135 | 2020-08-12 |
| 1477176923 | R & J Health Care | Clinic/Center | 6853b Douglas Blvd Ste B, Douglasville, GA 30135 | 2020-05-19 |
| 1003479411 | The Sister Circle of Love and Empowerment LLC | Clinic/Center | 4706 Boyer Glen Dr., Douglasville, GA 30135 | 2019-04-22 |
| 1457825358 | Marcia Ann-marie Wilson | Nurse Practitioner | 4279 Caroline Court, Douglasville, GA 30135 | 2019-01-14 |
| 1225564917 | Danielle Doebereiner-brown | Nurse Practitioner | 3872 Ga-5, Douglasville, GA 30135 | 2017-05-02 |
| 1851832430 | Jennifer Williams | Physical Therapist | 4999 Presley Mill Rd, Douglasville, GA 30135 | 2017-03-15 |
| 1316484686 | Geneva Brent | Licensed Practical Nurse | 2109 Fairburn Road, Douglasville, GA 30135 | 2017-01-25 |
| 1659816288 | Stephanie Walthour | Marriage & Family Therapist | 3400 Chapel Hill Rd Ste 317, Douglasville, GA 30135 | 2017-01-05 |
| 1770932105 | Solutions 2 Wellness and Recovery,llc | Social Worker | 2256 Greenwood Meadows Lane, Douglasville, GA 30135 | 2016-06-07 |
| 1326408378 | Sr & L Transport Services, LLC | Non-emergency Medical Transport (VAN) | 4841 Black Bear Trail, Douglasville, GA 30135 | 2016-03-03 |
| Find all providers in zip 30135 | ||||
| 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 |
|---|---|---|---|---|
| 1346417961 | Physicans Pain Clinic of Douglasville PC | Pain Medicine | 9390 The Landing Drive Suite 100, Douglasville, GA 30135 | 2008-05-13 |
| 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 | ||||
| City | DOUGLASVILLE |
| Zip Code | 30135 |
Please comment or provide details below to improve the information on INTERVENTIONAL SPINE AND PAIN MANAGEMENT CENTER, PC.
| 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.