Center for Pain and Spine, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

CENTER FOR PAIN AND SPINE, LLC

Practice address

2401 Newnan Crossing Blvd E
Suite 130
Newnan, GA 30265-2402

Phone

(678) 794-2106

NPI assigned

Aug 29, 2013

Last updated

Aug 29, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Vincent Galan, MDNPI 1831180983

Title

President

Phone

(678) 794-2106

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Listed as

Center for Pain and Spine LLCCCN 11C0001430

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Pain Care LLC

  • Anesthesiology Physician
  • Stockbridge, GA
  • NPI 1265607626

  Member Of

  NPD member

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Vincent Galan, MD

  • Pain Medicine Physician
  • Stockbridge, GA
  • NPI 1831180983
  NPD (past) Authorized official
• Paul Chang, MD

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Stockbridge, GA
  • NPI 1609024249
  NPD (past)
• Clinton Wilkinson, MD

  • Critical Care Medicine (Anesthesiology) Physician
  • Charlottesville, VA
  • NPI 1326609058
  NPD (past)

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

{
    "created_epoch": "1377734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377734400000",
    "number": "1013341734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1365 ROCK QUARRY RD",
            "address_2": "SUITE 202",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302815029",
            "telephone_number": "678-794-2106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 NEWNAN CROSSING BLVD E",
            "address_2": "SUITE 130",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302652402",
            "telephone_number": "678-794-2106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR PAIN AND SPINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-29",
        "last_updated": "2013-08-29",
        "status": "A",
        "authorized_official_last_name": "GALAN",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "678-794-2106",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Everett Caruthers, MD
• Kelly Dale Cashion, M.A., LPC, NCC
• Marie Judith Cauvin, M.D.
• Sheila Renee Caverly-Gillett, LPC
• Center for Learning & Cultivation (CLC Behavioral Health)
• Emily Cesar, LMSW
• Karunesh Chakote
• Srinivas Challa, DMD
• Kathryn Louise Chamberlain, MSW
• Richard Paul Chambers I

• Ambulatory Surgical Clinic/Center in Newnan, GA
• Providers in Newnan, GA by specialty
• Ambulatory Surgical Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.