Organization Active NPI

Pain Specialist Corp.

  • Pain Medicine (Anesthesiology) Physician
  • Stockbridge, GA
National Provider Identifier
1043390149
Registry record updated Aug 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
PAIN SPECIALIST CORP.
Practice address
1506 Rock Quarry Rd
Stockbridge, GA 30281-5047
Phone
(770) 507-6995
Fax
(770) 507-8252
NPI assigned
Oct 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2010

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

Authorized official

Name
Ana Maria Platon, MD
Title
President / Owner
Phone
(770) 507-6995

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207LP2900X GA Primary

Addresses

Primary practice location

1506 Rock Quarry Rd
Stockbridge, GA 30281-5047

Mailing address

1506 Rock Quarry Rd
Stockbridge, GA 30281-5047
Phone (770) 507-6995

Other identifiers 1

IdentifierTypeStateIssuer
DC1773OtherGAGRP RRMCR NUMBER

National Provider Directory

National Provider Directory

Locations

1010 Hospital Dr
Bldg B
Stockbridge, GA 30281
Phone (770) 506-1390

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283126400000",
    "number": "1043390149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1506 ROCK QUARRY RD",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302815047",
            "telephone_number": "770-507-6995",
            "fax_number": "770-507-8252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1506 ROCK QUARRY RD",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302815047",
            "telephone_number": "770-507-6995",
            "fax_number": "770-507-8252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN SPECIALIST CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2010-08-30",
        "status": "A",
        "authorized_official_last_name": "PLATON",
        "authorized_official_first_name": "ANA  MARIA",
        "authorized_official_title_or_position": "PRESIDENT  /  OWNER",
        "authorized_official_telephone_number": "770-507-6995",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GRP RRMCR NUMBER",
            "identifier": "DC1773",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockbridge, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.