NPIMap

Organization Active NPI

Vinings Spine & Health Center, LLC

  • General Practice Physician
  • Smyrna, GA
National Provider Identifier
1225462369
Registry record updated Nov 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
66224 Issued in GA
Legal business name
VININGS SPINE & HEALTH CENTER, LLC
Practice address
1675 Cumberland Pkwy SE
Suite 205
Smyrna, GA 30080-6359
Phone
(770) 955-9355
Fax
(877) 722-1023
NPI assigned
Aug 26, 2013
Last updated
Nov 5, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2013

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

Authorized official

Name
Dr. Raymond Easley, D.O
Title
Medical Director
Phone
(770) 955-9355

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 66224 GA Primary

Addresses

Primary practice location

1675 Cumberland Pkwy SE
Suite 205
Smyrna, GA 30080-6359

Mailing address

1675 Cumberland Pkwy SE
Suite 205
Smyrna, GA 30080-6359
Phone (770) 955-9355

National Provider Directory

National Provider Directory

Locations

1675 Cumberland Pkwy SE
Smyrna, GA 30080
Phone (770) 437-0780

1675 Cumberland Pkwy SE
Ste 20
Smyrna, GA 30080

Practitioners & affiliated clinicians

Practitioners 3

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": "1377475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383609600000",
    "number": "1225462369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1675 CUMBERLAND PKWY SE",
            "address_2": "SUITE 205",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300806359",
            "telephone_number": "770-955-9355",
            "fax_number": "877-722-1023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1675 CUMBERLAND PKWY SE",
            "address_2": "SUITE 205",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300806359",
            "telephone_number": "770-955-9355",
            "fax_number": "877-722-1023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VININGS SPINE & HEALTH CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-26",
        "last_updated": "2013-11-05",
        "status": "A",
        "authorized_official_last_name": "EASLEY",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "770-955-9355",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "GA",
            "license": "66224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.