NPIMap

Organization Active NPI

Atlanta Neurospine Institute, PC

  • Pain Medicine (Psychiatry & Neurology) Physician
  • Peachtree City, GA
National Provider Identifier
1194108134
Registry record updated Sep 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084P2900X
License
66095 Issued in GA
Legal business name
ATLANTA NEUROSPINE INSTITUTE, PC
Practice address
6000 Shakerag HL
Suite 110
Peachtree City, GA 30269-6523
Phone
(678) 489-5414
Fax
(678) 489-5537
NPI assigned
Jul 8, 2015
Last updated
Sep 3, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2015

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

Authorized official

Name
Sandeep Vaid, M.D.
Title
Owner
Phone
(678) 489-5414

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Psychiatry & Neurology) Physician 2084P2900X 66095 GA Primary
Pain Medicine Physician 208VP0000X 66095 GA
Interventional Pain Medicine Physician 208VP0014X 66095 GA

Addresses

Primary practice location

6000 Shakerag HL
Suite 110
Peachtree City, GA 30269-6523

Mailing address

6000 Shakerag HL
Suite 110
Peachtree City, GA 30269-6523
Phone (678) 489-5414

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1436313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441238400000",
    "number": "1194108134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 SHAKERAG HL",
            "address_2": "SUITE 110",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302696523",
            "telephone_number": "678-489-5414",
            "fax_number": "678-489-5537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 SHAKERAG HL",
            "address_2": "SUITE 110",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302696523",
            "telephone_number": "678-489-5414",
            "fax_number": "678-489-5537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTA NEUROSPINE INSTITUTE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-08",
        "last_updated": "2015-09-03",
        "status": "A",
        "authorized_official_last_name": "VAID",
        "authorized_official_first_name": "SANDEEP",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-489-5414",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P2900X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Pain Medicine",
            "state": "GA",
            "license": "66095",
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "GA",
            "license": "66095",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "GA",
            "license": "66095",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peachtree City, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2015; 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.