NPIMap

Individual provider Active NPI

Luther C Rollins III MD III, MD

  • Pain Medicine Physician
  • Atlanta, GA
National Provider Identifier
1043228364
Registry record updated Sep 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
023101 Issued in GA
Practice address
1140 Hammond Drive, NE
BLDG D-4190
Atlanta, GA 30328
Phone
(404) 351-1745
Fax
(404) 351-7121
NPI assigned
Aug 3, 2006
Last updated
Sep 28, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 023101 GA
Anesthesiology Physician 207L00000X 023101 GA
Pain Medicine Physician 208VP0000X 023101 GA Primary

Addresses

Primary practice location

1140 Hammond Drive, NE
BLDG D-4190
Atlanta, GA 30328

Mailing address

1140 Hammond Drive, NE
BLDG D-4190
Atlanta, GA 30328
Phone (770) 558-8501

Other identifiers 3

IdentifierTypeStateIssuer
023101OtherGALICENSE
LICENSEOtherGA023101
000281652AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
023101GAMDPain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fayette Community Anesthesia Anesthesiology Past Accepting new patients
Piedmont Anesthesia Associates, L.L.C Anesthesiology Past Accepting new patients
Southeastern Pain Consultants Anesthesiology Past Accepting new patients
American Anesthesiology Associates of Georgia, LLC Anesthesiology Past Accepting new patients
Southern Pain and Spine Associates, LLC Pain Medicine PastSince May 4, 2025 Accepting new patients
Pain Consultants of Atlanta LLC PastSince Mar 22, 2020 Accepting new patients
Southeastern Pain Specialists, P.C. Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HEGACD

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317168000000",
    "number": "1043228364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 HAMMOND DRIVE, NE",
            "address_2": "BLDG D-4190",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30328",
            "telephone_number": "770-558-8501",
            "fax_number": "770-558-8512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 HAMMOND DRIVE, NE",
            "address_2": "BLDG D-4190",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30328",
            "telephone_number": "404-351-1745",
            "fax_number": "404-351-7121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLLINS III MD",
        "first_name": "LUTHER",
        "middle_name": "C",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2011-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "023101",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "GA",
            "license": "023101",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "GA",
            "license": "023101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "023101",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "023101",
            "identifier": "LICENSE",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000281652A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.