The Center for Spine Procedures, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

THE CENTER FOR SPINE PROCEDURES, LLC

Practice address

1301 Sigman Rd NE Ste 120
Conyers, GA 30012-3819

Phone

(770) 760-9360

NPI assigned

Jan 11, 2024

Last updated

Jan 11, 2024By 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

Anthony GrassoNPI 1295710093

Title

Owner

Phone

(770) 421-1420

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1093586851. Details of each certification follow.

• CCN 11C0001577 Ambulatory surgical center · Active · Name & address match · Details

Ambulatory surgical center certification: CCN 11C0001577

Legal name

Center for Spine Procedures, LLC

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Dec 28, 2023

Last certification

Dec 28, 2023

Ownership / control type

Proprietary

Facility address

1301 Sigman Road NE Suite 120
Conyers, GA 30012

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

The Center for Spine Procedures2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• The Center for Spine Procedures, LLC

  • Ambulatory Surgical Clinic/Center
  • Marietta, GA
  • NPI 1780735175
  NPD tax ID

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.

• Anthony Grasso, M.D.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Marietta, GA
  • NPI 1295710093
  Authorized official Same address or phone

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

{
    "created_epoch": "1704931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704931200000",
    "number": "1093586851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 ROSELANE ST NW",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300607902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 SIGMAN RD NE STE 120",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300123819",
            "telephone_number": "770-760-9360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CENTER FOR SPINE PROCEDURES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-11",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-10",
        "status": "A",
        "authorized_official_last_name": "GRASSO",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-421-1420"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Samantha Thames
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• The Brighter Future Learning Center
• The Diamond of Home Care LLC
• The Emotional Hospital LLC
• The Epiphany Center
• The Eye MD
• The Interventional Spine and Pain Management Center, PC (Alliance Spine and Pain Centers)

• Ambulatory Surgical Clinic/Center in Conyers, GA
• Providers in Conyers, GA by specialty
• Ambulatory Surgical Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.