Advance Pain Management LLC.

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

Legal business name

ADVANCE PAIN MANAGEMENT LLC.

Practice address

2950 Stone Hogan Conn SW
BLDG a, Ste B
Atlanta, GA 30331-2837

Phone

(404) 781-2800

Fax

(404) 844-2903

NPI assigned

Feb 8, 2011

Organization subpart

No

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

Authorized official

Name

Geetha Manchireddy, MDNPI 1730157488

Title

Anesthesia

Phone

(404) 932-6172

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Geetha Manchireddy, MD

  • Pain Medicine (Anesthesiology) Physician
  • Atlanta, GA
  • NPI 1730157488
  Medicare reassignment Authorized official
• Victor Young Leslie, MD

  • Pain Medicine Physician
  • Decatur, GA
  • NPI 1629323977
  Medicare reassignment NPD
• Chongmyong Daniel Won, PA-C

  • Physician Assistant
  • Stockbridge, GA
  • NPI 1689197139
  Medicare reassignment

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

{
    "created_epoch": "1297123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621555200000",
    "number": "1013213073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 MEDICAL BLVD",
            "address_2": "STE C",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302815053",
            "telephone_number": "404-932-6172",
            "fax_number": "404-844-2903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 STONE HOGAN CONN SW",
            "address_2": "BLDG A, STE B",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303312837",
            "telephone_number": "404-781-2800",
            "fax_number": "404-844-2903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE PAIN MANAGEMENT LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-08",
        "last_updated": "2021-05-21",
        "certification_date": "2021-02-02",
        "status": "A",
        "authorized_official_last_name": "MANCHIREDDY",
        "authorized_official_first_name": "GEETHA",
        "authorized_official_title_or_position": "ANESTHESIA",
        "authorized_official_telephone_number": "404-932-6172",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000943533B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nazmi Volkan Adsay, MD
• Victoria Chantel Adside
• Olajumoke Florence Adu, BCABA
• Advance ABA LLC
• Advance Pain Management
• Advance Therapeutics, LLC
• Advanced Allergy Inc
• Advanced Behavioral Concepts LLC
• Advanced Care Network LLC
• Advanced Care Pediatrics, Inc.

• Adult Health Nurse Practitioner in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Adult Health Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.