Georgia Spine Specialists

Primary specialty

SpecialistTaxonomy code 174400000X

License

52966 Issued in GA

Legal business name

GEORGIA SPINE SPECIALISTS

Practice address

3903 S Cobb Dr SE
Ste 105
Smyrna, GA 30080-8504

Phone

(678) 838-6600

Fax

(770) 438-1477

NPI assigned

Mar 31, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Miguel A Jimenez, MD

Title

Ceo

Phone

(770) 374-3714

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Georgia Spine Specialists3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Georgia Spine Specialists

  • Orthopaedic Surgery Physician
  • Jasper, GA
  • NPI 1558528190
  NPD tax ID
• Georgia Spine Specialists

  • Orthopaedic Surgery Physician
  • Cartersville, GA
  • NPI 1760696306
  NPD tax ID

Locations

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

{
    "created_epoch": "1301529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301529600000",
    "number": "1013206952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 MAYBELLE ST",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301203615",
            "telephone_number": "770-334-2065",
            "fax_number": "770-334-2066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3903 S COBB DR SE",
            "address_2": "STE 105",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300808504",
            "telephone_number": "678-838-6600",
            "fax_number": "770-438-1477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA SPINE SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-31",
        "last_updated": "2011-03-31",
        "status": "A",
        "authorized_official_last_name": "JIMENEZ",
        "authorized_official_first_name": "MIGUEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-374-3714",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "GA",
            "license": "52966",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "GRP7885",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Georgia Imaging Associates PC
• Georgia Medical Specialists
• Georgia Medical Specialists, LLC
• Georgia Pro-Health Partners LLC
• Georgia Psychiatry & Sleep
• Georgia Spine Specialists
• Georgia Urology Ambulatory Surgery Center Smyrna LLC
• Georgia Urology PA
• Georgia Urology PA
• Georgia Urology, PA

• Specialist in Smyrna, GA
• Providers in Smyrna, GA by specialty
• Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2011; 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.