Organization Active NPI

Brain, Spine and Joint Associates, LLC

  • Pain Medicine Physician
  • Atlanta, GA
National Provider Identifier
1053018010
Registry record updated Feb 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
Legal business name
BRAIN, SPINE AND JOINT ASSOCIATES, LLC
Practice address
4355 Cobb Pkwy SE Ste J-109
Atlanta, GA 30339-4657
Phone
(770) 740-4499
Fax
(770) 740-4498
NPI assigned
Feb 10, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2023

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

Authorized official

Name
Ms. Lucy Thomas
Title
Medical Biller Translator Manager
Phone
(678) 428-7812

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0000X Primary

Addresses

Primary practice location

4355 Cobb Pkwy SE Ste J-109
Atlanta, GA 30339-4657

Mailing address

4355 Cobb Pkwy SE Ste J-109
Atlanta, GA 30339-4657
Phone (770) 740-4499

National Provider Directory

National Provider Directory

Locations

4355 Cobb Pkwy SE
Atlanta, GA 30339
Phone (404) 500-6338

NPI Registry JSON

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

{
    "created_epoch": "1675987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675987200000",
    "number": "1053018010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4355 COBB PKWY SE STE J-109",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303394657",
            "telephone_number": "770-740-4499",
            "fax_number": "770-740-4498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4355 COBB PKWY SE STE J-109",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303394657",
            "telephone_number": "770-740-4499",
            "fax_number": "770-740-4498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAIN, SPINE AND JOINT ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-10",
        "last_updated": "2023-02-10",
        "certification_date": "2023-01-25",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "LUCY",
        "authorized_official_title_or_position": "MEDICAL BILLER TRANSLATOR MANAGER",
        "authorized_official_telephone_number": "678-428-7812",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Feb 10, 2023; 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.