Larry Tufani Mabine, MD

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

License

053994 Issued in GA

Practice address

7914 Highway 92
Ste 130
Woodstock, GA 30189-5238

Phone

(770) 924-8438

Fax

(770) 924-8431

NPI assigned

Jul 4, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Acworth Pain Management Center Inc

  • Pain Clinic/Center
  • Acworth, GA
  • NPI 1235354218
  NPD (past)
• Fayette Community Anesthesia

  • Anesthesiology Physician
  • Atlanta, GA
  • NPI 1144220245
  NPD (past)
• Piedmont Anesthesia Associates, L.L.C

  • Anesthesiology Physician
  • Atlanta, GA
  • NPI 1407856594
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384992000000",
    "number": "1003846049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7914 HIGHWAY 92",
            "address_2": "STE 130",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301895238",
            "telephone_number": "770-924-8438",
            "fax_number": "770-924-8431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7914 HIGHWAY 92",
            "address_2": "STE 130",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301895238",
            "telephone_number": "770-924-8438",
            "fax_number": "770-924-8431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MABINE",
        "first_name": "LARRY",
        "middle_name": "TUFANI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2013-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "GA",
            "license": "053994",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "GA",
            "license": "053994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Virginia E Lundy, LAPC
• John Roman Lutz, PH.D.
• Luxottica of America Inc
• Luxottica of America Inc.
• M.E.M. Medical Services, P.C.
• Staci Mackay-Mercer, CO
• Laura Madinger, MED
• Vincent Michael Magliocco, O.D.
• Magnolia Grace Homecare LLC
• Padmini Amanda Mahadeo, COTA

• Pain Medicine Physician in Woodstock, GA
• Providers in Woodstock, GA by specialty
• Pain Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.