Federal Injury Center of Atlanta

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

Legal business name

FEDERAL INJURY CENTER OF ATLANTA

Practice address

1600 Macy Dr
Roswell, GA 30076-6349

Phone

(678) 878-3334

Fax

(678) 878-3442

NPI assigned

Jan 8, 2019

Last updated

Jan 8, 2019By 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

Ms. Crystal StallworthNPI 1700553401

Title

Practice Manager

Phone

(404) 997-0167

Specialties & licenses 2

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.

• Crystal M Stallworth

  • Home Health Agency
  • Roswell, GA
  • NPI 1700553401
  NPD Authorized official

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

{
    "created_epoch": "1546905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546905600000",
    "number": "1104399674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 MACY DR",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300766349",
            "telephone_number": "678-878-3334",
            "fax_number": "678-878-3334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 MACY DR",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300766349",
            "telephone_number": "678-878-3334",
            "fax_number": "678-878-3442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FEDERAL INJURY CENTER OF ATLANTA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-08",
        "last_updated": "2019-01-08",
        "status": "A",
        "authorized_official_last_name": "STALLWORTH",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "404-997-0167",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Babatunde Bankole Fariyike, MD
• Duane T Farmer, L.P.C
• Jo Ellen Farner, CRNP
• Florence Fashola
• Scott William Featherstone, D.C.
• Rhona Tiongson Federer, MD
• Janet I Fedullo, CNM
• Katelyn Feinsmith, RBT
• Jason M Feld, M.C.D., CCC-A
• Susannah Rachel Felton, DMD

• Pain Clinic/Center in Roswell, GA
• Providers in Roswell, GA by specialty
• Pain Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2019; 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.