Spine Specialists of Georgia

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

048622 Issued in GA

Legal business name

SPINE SPECIALISTS OF GEORGIA

Practice address

2801 N Decatur Rd Ste 200
Decatur, GA 30033-5936

Phone

(404) 296-5005

Fax

(404) 296-5058

NPI assigned

Nov 6, 2009

Organization subpart

No

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

Authorized official

Name

Eugene A Eline Jr., DO

Title

Owner

Phone

(404) 296-5005

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1257465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257465600000",
    "number": "1083941322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2536 BODDIE PL",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300977489",
            "telephone_number": "404-296-5005",
            "fax_number": "404-296-5058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 N DECATUR RD STE 200",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300335936",
            "telephone_number": "404-296-5005",
            "fax_number": "404-296-5058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE SPECIALISTS OF GEORGIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-06",
        "last_updated": "2009-11-06",
        "status": "A",
        "authorized_official_last_name": "ELINE",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-296-5005",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "GA",
            "license": "048622",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "495498433A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wade L Spencer
• David Patrick Speno, MDIV.
• Kris Lee Sperry, M. D.
• Connie Spiegel, RT(R)CBRPA
• Spine , Muscle and Joint Inc
• Spiritual Gifts and Blessings Outreach Corporation
• Erin Spivey, PHARM.D.
• Patrica Ann Spratley, SLP
• Stacey B Spriggs, RN
• Jasmyne Renee Sprinkle, M.ED., APC

• Orthopaedic Surgery Physician in Decatur, GA
• Providers in Decatur, GA by specialty
• Orthopaedic Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2009; 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.