Organization Active NPI

National Pain Physicians

  • Medical Physician Assistant
  • Gainesville, GA
National Provider Identifier
1215364047
Registry record updated Oct 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
03158 Issued in GA
Legal business name
NATIONAL PAIN PHYSICIANS
Practice address
715 Queen City Pkwy
#106
Gainesville, GA 30501-4348
Phone
(770) 531-5115
Fax
(770) 531-5116
NPI assigned
Oct 13, 2013
Last updated
Oct 13, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2013

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

Authorized official

Name
Dr. Robert B Winsor, M.D.
Title
Physician
Phone
(678) 485-1396

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363AM0700X 03158 GA Primary

Addresses

Primary practice location

715 Queen City Pkwy
#106
Gainesville, GA 30501-4348

Mailing address

1929 Trinity Mill Dr
Dacula, GA 30019-1006
Phone (678) 485-1396

Other identifiers 1

IdentifierTypeStateIssuer
387169911BMedicaidGA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1381622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381622400000",
    "number": "1215364047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1929 TRINITY MILL DR",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300191006",
            "telephone_number": "678-485-1396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 QUEEN CITY PKWY",
            "address_2": "#106",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305014348",
            "telephone_number": "770-531-5115",
            "fax_number": "770-531-5116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONAL PAIN PHYSICIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-13",
        "last_updated": "2013-10-13",
        "status": "A",
        "authorized_official_last_name": "WINSOR",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "678-485-1396",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "03158",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "387169911B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2013; 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.