Organization Active NPI

Spine Cin of Atlanta LLC

  • Orthopaedic Surgery Physician
  • Atlanta, GA
National Provider Identifier
1184122962
Registry record updated Jan 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
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, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2018

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)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X GA Primary
Orthopaedic Surgery of the Spine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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

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.

Verify at the official NPI Registry.