Georgia Complex Spine, LLC

Primary specialty

Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X

License

50385 Issued in GA

Legal business name

GEORGIA COMPLEX SPINE, LLC

Practice address

1368 Southlake Plaza Dr
Morrow, GA 30260-1756

Phone

(678) 767-2569

Fax

(678) 550-9990

NPI assigned

Oct 21, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Stephen Bruce James, DONPI 1013904697

Title

Orthopaedic Spine Surgeon

Phone

(678) 521-7064

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

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

• Stephen B. James, D.O.

  • Orthopaedic Surgery of the Spine Physician
  • Melbourne, FL
  • NPI 1013904697
  NPD (past) Authorized official

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

{
    "created_epoch": "1477008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477008000000",
    "number": "1083165252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4920 ATLANTA HWY",
            "address_2": "#134",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300042921",
            "telephone_number": "678-767-2569",
            "fax_number": "678-550-9990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1368 SOUTHLAKE PLAZA DR",
            "city": "MORROW",
            "state": "GA",
            "postal_code": "302601756",
            "telephone_number": "678-767-2569",
            "fax_number": "678-550-9990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA COMPLEX SPINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-21",
        "last_updated": "2016-10-21",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "BRUCE",
        "authorized_official_title_or_position": "ORTHOPAEDIC SPINE SURGEON",
        "authorized_official_telephone_number": "678-521-7064",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "GA",
            "license": "50385",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000911919",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1013904697",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brandy Franks, COS. MED GR. EQ. PRO
• Rhonda R. Freeman, NP
• Calandra A Gamble, CMA
• Marion Gardner, MSOT
• Gargirx LLC
• Georgia CVS Pharmacy, L.L.C.
• Georgia Health and Rehabilitation
• Georgia Injury & Spine Center of Morrow
• Georgia Psychotherapy and Wellness Services
• Alida Maria Gertz, MD

• Orthopaedic Surgery of the Spine Physician in Morrow, GA
• Providers in Morrow, GA by specialty
• Orthopaedic Surgery of the Spine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2016; 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.