ATLANTA SPINE WELLNESS CENTER LLC (NPI# 1952680928) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952680928 |
| Entity Type | Organization |
| Organization Name | ATLANTA SPINE WELLNESS CENTER LLC |
| Practice Address |
608 Moreland Ave Ne Atlanta GA 30307-1425 |
| Practice Telephone | 4046872382 |
| Practice Fax Number | 7704522844 |
| Mailing Telephone | 4046872382 |
| Mailing Fax Number | 7704522844 |
| Enumeration Date | 2011-08-09 |
| Last Update Date | 2011-08-09 |
| Authorized Official Name | MS. SARA BADIE (BILLING) |
| Authorized Official Telephone | 7708766964 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305R00000X | Preferred Provider Organization | CHIR008167 | GA | Managed Care Organizations |
| Street Address |
608 MORELAND AVE NE |
| City | ATLANTA |
| State | GA |
| Zip Code | 30307-1425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396924528 | Isaiah Gershon Marder | Chiropractor | 608 Moreland Ave Ne, Atlanta, GA 30307-1425 | 2007-10-24 |
| 1518589779 | Madilyn Aubrey Smith | Chiropractor | 608 Moreland Ave Ne, Atlanta, GA 30307-1425 | 2020-05-11 |
| 1114344850 | Atlanta Chiropractic & Wellness Center | Chiropractor | 608 Moreland Ave Ne, Atlanta, GA 30307-1425 | 2014-03-19 |
| 1497016414 | Sean Morgan Daner | Chiropractor | 608 Moreland Ave Ne, Atlanta, GA 30307-1425 | 2012-06-06 |
| 1366719361 | Jeremy S Thompson | Chiropractor | 608 Moreland Ave Ne, Atlanta, GA 30307-1425 | 2011-11-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033716774 | Shannon Busby Bagga | Dietitian, Registered | 1806 Dekalb Ave Ne, Atlanta, GA 30307 | 2020-10-06 |
| 1366062846 | Key Counseling Group, LLC | Social Worker | 675 Seminole Ave. Ne, Ste. 111, Atlanta, GA 30307 | 2020-04-24 |
| 1730683749 | Kristina Joy Betz | Pediatrics | 2105 Uppergate Drive, Atlanta, GA 30307 | 2018-03-23 |
| 1336658558 | Erin Asteghene | Specialist/Technologist | 1509 South Ponce De Leon Ave., Atlanta, GA 30307 | 2017-09-20 |
| 1689196446 | Sera Kim | Student in an Organized Health Care Education/Training Program | 1648 Pierce Drive Ne, Atlanta, GA 30307 | 2017-07-13 |
| 1164974168 | Megan Elizabeth Tarshis | Social Worker | 675 Seminole Ave., Suite 210, Atlanta, GA 30307 | 2016-10-26 |
| 1255703880 | Jennifer Browning Eastman | Speech-Language Pathologist | 1053 Oakdale Road, Atlanta, GA 30307 | 2015-10-22 |
| 1639566714 | Amit Shah | Student in an Organized Health Care Education/Training Program | 1648 Pierce Drive, Atlanta, GA 30307 | 2015-04-16 |
| 1134524853 | Sheryl Cababat Caberto | Internal Medicine | 1648 Pierce Dr Ne, Atlanta, GA 30307 | 2014-10-23 |
| 1942568803 | Sarah Coyle Burke | Anesthesiology | 870 Inman Village Pkwy Ne, #305, Atlanta, GA 30307 | 2012-04-30 |
| Find all providers in zip 30307 | ||||
| Taxonomy Code | 305R00000X |
| Grouping | Managed Care Organizations |
| Classification | Preferred Provider Organization |
| A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578003349 | Lrdj LLC | Preferred Provider Organization | 790 Huff Rd Nw Apt 4055, Atlanta, GA 30318-4373 | 2017-02-27 |
| 1205288164 | Medprime Brookhaven | Preferred Provider Organization | 2 Concourse Pkwy, Suite 100, Atlanta, GA 30328-5371 | 2016-07-04 |
| 1588052641 | Bjmm Medical LLC | Preferred Provider Organization | 1287 Glenwood Ave Se Ste C, Atlanta, GA 30316-1932 | 2014-12-24 |
| 1982955902 | Melson Counseling & Consulting Group | Preferred Provider Organization | 2900 Chamblee Tucker Rd Bldg 5-300, Atlanta, GA 30341-4158 | 2012-10-01 |
| 1013296078 | Peachtree Spine Center | Preferred Provider Organization | 1401 Peachtree St Ne Ste 160, Atlanta, GA 30309-3000 | 2011-08-09 |
| 1588812465 | Applications Technology Group, Inc. | Preferred Provider Organization | 5825 Glenridge Dr Ne Bldg 3, Atlanta, GA 30328-5387 | 2008-09-04 |
| 1851439830 | Dr.lily Narusevicius | Preferred Provider Organization | 4890 Roswell Rd Ne Ste 100, Atlanta, GA 30342-2606 | 2007-02-02 |
| 1679680557 | Nicholas Jean Beaulieu | Preferred Provider Organization | 920 Ponce De Leon Ave Ne, 920 Ponce De Leon Ave, Atlanta, GA 30306-4212 | 2006-08-24 |
| 1407365224 | Ascension Wellness Inc | Preferred Provider Organization | 1800 Peachtree St Nw Ste 660, Atlanta, GA 30309-2522 | 2017-09-25 |
| 1538559729 | Mind's Eye Enterprises, LLC | Preferred Provider Organization | 455 E Paces Ferry Rd Ne, Suite 332, Atlanta, GA 30305-3313 | 2015-01-27 |
| Find all providers in ATLANTA | ||||
Please comment or provide details below to improve the information on ATLANTA SPINE WELLNESS CENTER 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.