Organization Active NPI

Dr Julio Ortho Spine LLC

  • Orthopaedic Surgery of the Spine Physician
  • Decatur, GA
National Provider Identifier
1184271009
Registry record updated Aug 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
Legal business name
DR JULIO ORTHO SPINE LLC
Practice address
2801 N Decatur Rd Ste 200
Decatur, GA 30033-5936
Phone
(404) 296-5005
Fax
(404) 296-9417
NPI assigned
Aug 26, 2019
Last updated
Aug 26, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2019

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

Authorized official

Name
Brian PalloneNPI 1619591450
Title
Practice Manager
Phone
(404) 296-5005

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine Physician 207XS0117X NU Primary

Addresses

Primary practice location

2801 N Decatur Rd Ste 200
Decatur, GA 30033-5936

Mailing address

2801 N Decatur Rd Ste 200
Decatur, GA 30033-5936
Phone (404) 296-5005

Other practice location 1

2400 Wisteria Dr Ste A
Snellville, GA 30078-2689
Phone (770) 985-9330

National Provider Directory

National Provider Directory

Locations

2801 N Decatur Rd
Ste 200
Decatur, GA 30033
Phone (404) 296-5005

2400 Wisteria Dr
Ste 100
Snellville, GA 30078
Phone (770) 982-0102

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1566777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566777600000",
    "number": "1184271009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 N DECATUR RD STE 200",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300335936",
            "telephone_number": "404-296-5005",
            "fax_number": "404-296-9417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 N DECATUR RD STE 200",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300335936",
            "telephone_number": "404-296-5005",
            "fax_number": "404-296-9417"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2400 Wisteria Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Snellville",
            "state": "GA",
            "postal_code": "300782689",
            "country_code": "US",
            "telephone_number": "770-985-9330",
            "fax_number": "770-982-8881",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DR JULIO ORTHO SPINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-26",
        "last_updated": "2019-08-26",
        "status": "A",
        "authorized_official_last_name": "PALLONE",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "404-296-5005"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.