Active NPI
National Pain Physicians
- Medical Physician Assistant
- Gainesville, GA
National Provider Identifier
1215364047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 03158
- 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, 2013
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 387169911B | Medicaid | GA |
National Provider Directory
National Provider DirectoryNPI 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.