Active NPI
Spine Cin of Atlanta LLC
- Orthopaedic Surgery Physician
- Atlanta, GA
National Provider Identifier
1184122962
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- SPINE CIN OF ATLANTA LLC
- Practice address
- 10 Glenlake Pkwy Ste 130a
Atlanta, GA 30328-3495 - Phone
- (615) 386-0064
- Fax
- (615) 386-0067
- NPI assigned
- Jan 26, 2018
- Last updated
- Jan 26, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Edward Leland Hutton Eadie
- Title
- Director
- Phone
- (615) 733-2064
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | GA | Primary | |
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | GA |
Addresses
Primary practice location
10 Glenlake Pkwy Ste 130a
Atlanta, GA 30328-3495
Mailing address
102 Woodmont Blvd Ste 350
Nashville, TN 37205-2216
Phone (615) 386-0064
National Provider Directory
National Provider DirectoryLocations
10 Glenlake Pkwy
Ste 130A
Sandy Springs, GA 30328
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516924800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1516924800000",
"number": "1184122962",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 WOODMONT BLVD STE 350",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372052216",
"telephone_number": "615-386-0064",
"fax_number": "615-386-0067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 GLENLAKE PKWY STE 130A",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303283495",
"telephone_number": "615-386-0064",
"fax_number": "615-386-0067"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPINE CIN OF ATLANTA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-01-26",
"last_updated": "2018-01-26",
"status": "A",
"authorized_official_last_name": "EADIE",
"authorized_official_first_name": "EDWARD",
"authorized_official_middle_name": "LELAND HUTTON",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "615-733-2064"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": "GA",
"license": null,
"primary": true
},
{
"code": "207XS0117X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": "GA",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
- Gilbert Donald Spindel Jr., O.D., F.A.A.O.
- Jennifer L Spindler
- Spine & Sacroiliac Specialists, LLC
- Spine Center Atlanta Rehabilitation & Wellness Center, LLC
- Spine Center Savannah, LLC
- Spinealign Center LLC
- Spinealign Centers of Atlanta
- Spinecentersavannah, LLC
- Spinenexus, Inc.
- Judy Shula Spira, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.