Atlanta Pain & Injury PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

024649 Issued in GA

Legal business name

ATLANTA PAIN & INJURY PC

Practice address

800 Virginia Ave
Ste 200
Hapeville, GA 30354-4302

Phone

(770) 938-2625

Fax

(404) 477-0906

NPI assigned

Jan 28, 2010

Last updated

Feb 7, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Shailesh Sushil Kothari, D.C.NPI 1346489200

Title

Ceo

Phone

(770) 938-2625

Specialties & licenses 3

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shailesh S Kothari, D.C.

  • Chiropractor
  • Hapeville, GA
  • NPI 1346489200
  Authorized official Same address or phone

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

{
    "created_epoch": "1264636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297036800000",
    "number": "1073844205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1938 COBBLESTONE CIR NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303194905",
            "telephone_number": "770-938-2625",
            "fax_number": "404-477-0906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 VIRGINIA AVE",
            "address_2": "STE 200",
            "city": "HAPEVILLE",
            "state": "GA",
            "postal_code": "303544302",
            "telephone_number": "770-938-2625",
            "fax_number": "404-477-0906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTA PAIN & INJURY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-28",
        "last_updated": "2011-02-07",
        "status": "A",
        "authorized_official_last_name": "KOTHARI",
        "authorized_official_first_name": "SHAILESH",
        "authorized_official_middle_name": "SUSHIL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-938-2625",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIRO08446",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "024649",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "044228",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Atlanta Vision Cataract & Laser Center PC
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• Avanta Care
• Axis Joint & Spine Surgical Cenetr
• Olivia Hovell Babb, PA-C

• Internal Medicine Physician in Hapeville, GA
• Providers in Hapeville, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.