Organization Active NPI

Georgia Institute of Medicine, LLC

  • Interventional Pain Medicine Physician
  • Atlanta, GA
National Provider Identifier
1144867391
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
GEORGIA INSTITUTE OF MEDICINE, LLC
Doing business as
Georgia Interventional Medicine, LLC
Practice address
3286 Buckeye Rd # 150
Atlanta, GA 30341-4228
Phone
(404) 267-5566
Fax
(404) 267-5565
NPI assigned
Dec 6, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

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

Authorized official

Name
Patricia Brodie
Title
Billing Manager
Phone
(404) 267-5566

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2081P2900X
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X
Interventional Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0014X Primary

Addresses

Primary practice location

3286 Buckeye Rd # 150
Atlanta, GA 30341-4228

Mailing address

3286 Buckeye Rd
Atlanta, GA 30341-4228
Phone (404) 267-5566

Other practice location 1

6452 S Lee St
Morrow, GA 30260-1771
Phone (404) 267-5566 ext. 1788

Other practice location 2

5700 Hillandale Dr
Lithonia, GA 30058-4103
Phone (404) 267-5566 ext. 1564

Other practice location 3

777 Cleveland Ave SW Ste 414
Atlanta, GA 30315-7119
Phone (404) 267-5566 ext. 1517

Other names 1

  • Georgia Interventional Medicine, LLC Doing business as

National Provider Directory

National Provider Directory

Locations

777 Cleveland Ave SW
Ste 414
Atlanta, GA 30315
Phone 4042675566 ext. 1415

3286 Buckeye Rd
Atlanta, GA 30341
Phone (404) 267-5564

3286 Buckeye Rd
#150
Atlanta, GA 30341
Phone (404) 267-5566

6452 S Lee St
Morrow, GA 30260
Phone 4042675566 ext. 1788

NPI Registry JSON

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

{
    "created_epoch": "1575590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740960000000",
    "number": "1144867391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3286 BUCKEYE RD",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303414228",
            "telephone_number": "404-267-5566",
            "fax_number": "404-267-5565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3286 BUCKEYE RD # 150",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303414228",
            "telephone_number": "404-267-5566",
            "fax_number": "404-267-5565"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6452 S Lee St",
            "address_purpose": "LOCATION",
            "city": "Morrow",
            "state": "GA",
            "postal_code": "302601771",
            "country_code": "US",
            "telephone_number": "404-267-5566 x1788",
            "fax_number": "404-267-5565",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5700 Hillandale Dr",
            "address_purpose": "LOCATION",
            "city": "Lithonia",
            "state": "GA",
            "postal_code": "300584103",
            "country_code": "US",
            "telephone_number": "404-267-5566 x1564",
            "fax_number": "404-267-5565",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "777 Cleveland Ave SW Ste 414",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303157119",
            "country_code": "US",
            "telephone_number": "404-267-5566 x1517",
            "fax_number": "404-267-5565",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GEORGIA INSTITUTE OF MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-06",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A",
        "authorized_official_last_name": "BRODIE",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "404-267-5566"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Georgia Interventional Medicine, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2025; 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.