Active NPI
Atlanta Spine Anesthesia, LLC
- Anesthesiology Physician
- Atlanta, GA
National Provider Identifier
1023502846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- Legal business name
- ATLANTA SPINE ANESTHESIA, LLC
- Doing business as
- Atlanta Spine Anesthesia
- Practice address
- 60 Peachtree Park Dr NE Ste 200
Atlanta, GA 30309 - Phone
- (678) 369-6934
- NPI assigned
- Jun 15, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Carl Noback, MD
- Title
- Authorized Official
- Phone
- (888) 337-3509
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | Primary | ||
| Certified Registered Nurse Anesthetist | 367500000X |
Addresses
Primary practice location
60 Peachtree Park Dr NE Ste 200
Atlanta, GA 30309
Mailing address
PO Box 865700
Orlando, FL 32886-5700
Phone (888) 337-3509
Other names 1
- Atlanta Spine Anesthesia
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Conyers, GA
- NPI 1073698999
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529020800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1529625600000",
"number": "1023502846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 865700",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328865700",
"telephone_number": "888-337-3509"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 PEACHTREE PARK DR NE STE 200",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30309",
"telephone_number": "678-369-6934"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ATLANTA SPINE ANESTHESIA, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-06-15",
"last_updated": "2018-06-22",
"status": "A",
"authorized_official_last_name": "NOBACK",
"authorized_official_first_name": "CARL",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "888-337-3509",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": null,
"license": null,
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Anesthetist, Certified Registered",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Atlanta Spine Anesthesia",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Atlanta, GA
- Atlanta Speech and Language LLC
- Atlanta Speech Pathology, LLC.
- Atlanta Speech School Inc
- Atlanta Spine and Alternative Pain Management Center, LLC
- Atlanta Spine and Anesthesia
- Atlanta Spine Center PC
- Atlanta Spine Doctors Premier LLC
- Atlanta Spine Institute
- Atlanta Spine Surgery Center, LLC
- Atlanta Spine Wellness Center LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.