Buckhead Injury and Wellness Institute PC

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

27927 Issued in GA

Legal business name

BUCKHEAD INJURY AND WELLNESS INSTITUTE PC

Practice address

5825 Glenridge Dr NE Ste 212
Atlanta, GA 30328-5387

Phone

(888) 779-3903

NPI assigned

Dec 27, 2012

Last updated

Dec 27, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lionel Johnson

Title

Practice Manager

Phone

(770) 439-7575

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1356566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356566400000",
    "number": "1215273974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5825 GLENRIDGE DR NE STE 212",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303285387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5825 GLENRIDGE DR NE STE 212",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303285387",
            "telephone_number": "888-779-3903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUCKHEAD INJURY AND WELLNESS INSTITUTE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-27",
        "last_updated": "2012-12-27",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "LIONEL",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "770-439-7575"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "GA",
            "license": "27927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Buckhead Dental Center (Brookhaven Dental Associates)
• Buckhead Dermatology
• Buckhead Facial Plastic Surgery
• Buckhead Facial Plastic Surgery Center
• Buckhead Foot & Ankle PC
• Buckhead Institute of Medicine & Rehabilitation Inc.
• Buckhead Internal Medicne
• Buckhead Medical LLC Dba Northalke Medical Group
• Buckhead Medical Solutions
• Buckhead Mohs Surgical Center LLC

• Pain Medicine (Anesthesiology) Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Pain Medicine (Anesthesiology) Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2012; 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.