Interventional Spine and Pain Management Center, PC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

INTERVENTIONAL SPINE AND PAIN MANAGEMENT CENTER, PC

Practice address

2675 N Decatur Rd
Suite 303
Decatur, GA 30033-6131

Phone

(770) 929-9033

NPI assigned

Feb 22, 2016

Organization subpart

No

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

Authorized official

Name

Victoria Beck

Title

Cfo

Phone

(404) 920-4950

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Interventional Spine and Pain Management Center, PC

  • Interventional Pain Medicine Physician
  • Conyers, GA
  • NPI 1023481918

  O20070130000066

  Same enrollment
• Interventional Spine and Pain Management Center, PC

  • Interventional Pain Medicine Physician
  • Dawsonville, GA
  • NPI 1265892293

  O20070130000066

  Same enrollment
• Interventional Spine and Pain Management, PC

  • Anesthesiology Physician
  • Covington, GA
  • NPI 1275633372

  O20070130000066

  Same enrollment
• The Interventional Spine and Pain Management Center PC

  • Interventional Pain Medicine Physician
  • Atlanta, GA
  • NPI 1326409566

  O20070130000066

  Same enrollment
• The Interventional Spine and Pain Management Center PC

  • Interventional Pain Medicine Physician
  • Cartersville, GA
  • NPI 1376999094

  O20070130000066

  Same enrollment
• The Interventional Spine and Pain Management Center, PC

  • Interventional Pain Medicine Physician
  • Conyers, GA
  • NPI 1518012004

  O20070130000066

  Same enrollment

Locations

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

{
    "created_epoch": "1456099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463356800000",
    "number": "1154780914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3390 PEACHTREE RD NE",
            "address_2": "SUITE 1500",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303261157",
            "telephone_number": "404-920-4950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2675 N DECATUR RD",
            "address_2": "SUITE 303",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300336131",
            "telephone_number": "770-929-9033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERVENTIONAL SPINE AND PAIN MANAGEMENT CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-22",
        "last_updated": "2016-05-16",
        "status": "A",
        "authorized_official_last_name": "BECK",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "404-920-4950"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Interventional Pain Medicine Physician in Decatur, GA
• Providers in Decatur, GA by specialty
• Interventional Pain Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.