Active NPI
Brain, Spine and Joint Associates, LLC
- Pain Medicine Physician
- Atlanta, GA
National Provider Identifier
1053018010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine Physician | 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 DirectoryLocations
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.