Organization Active NPI

Georgia Injury & Spine Center of Decatur

  • Occupational Medicine Physician
  • Decatur, GA
National Provider Identifier
1023310638
Registry record updated Dec 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
License
005943 Issued in GA
Legal business name
GEORGIA INJURY & SPINE CENTER OF DECATUR
Practice address
2417 Candler Rd
Decatur, GA 30032-6410
Phone
(404) 284-0888
NPI assigned
Dec 2, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2010

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

Authorized official

Name
Dr. Matthew C Silvestro, DC
Title
Director
Phone
(404) 217-3809

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2083X0100X 005943 GA Primary

Addresses

Primary practice location

2417 Candler Rd
Decatur, GA 30032-6410

Mailing address

2417 Candler Rd
Decatur, GA 30032-6410
Phone (404) 284-0888

National Provider Directory

National Provider Directory

Locations

2417 Candler Rd
Decatur, GA 30032
Phone (404) 284-0888

NPI Registry JSON

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

{
    "created_epoch": "1291248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291248000000",
    "number": "1023310638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2417 CANDLER RD",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300326410",
            "telephone_number": "404-284-0888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2417 CANDLER RD",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300326410",
            "telephone_number": "404-284-0888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA INJURY & SPINE CENTER OF DECATUR",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-02",
        "last_updated": "2010-12-02",
        "status": "A",
        "authorized_official_last_name": "SILVESTRO",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "404-217-3809",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "GA",
            "license": "005943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2010; 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.