NPIMap

Organization Active NPI

Sports and Spine Institute

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • McDonough, GA
National Provider Identifier
1245689777
Registry record updated Jun 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
067950 Issued in GA
Legal business name
SPORTS AND SPINE INSTITUTE
Practice address
2340 Patrick Henry Pkwy
150
McDonough, GA 30253-4325
Phone
(678) 866-3646
Fax
(678) 804-6862
NPI assigned
Jun 6, 2016
Last updated
Jun 6, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
ATLANTA SPORTS AND SPINEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 6, 2016

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

Authorized official

Name
Dr. Amrish Dinubhai Patel, MDNPI 1871755025
Title
MD/President
Phone
(706) 580-3607

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 067950 GA Primary
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X 067950 GA

Addresses

Primary practice location

2340 Patrick Henry Pkwy
150
McDonough, GA 30253-4325

Mailing address

2340 Patrick Henry Pkwy
150
McDonough, GA 30253-4325
Phone (678) 866-3646

National Provider Directory

National Provider Directory
Part of
Atlanta Sports and Spine LLC

Locations

2340 Patrick Henry Pkwy
Ste 150
McDonough, GA 30253
Phone (678) 671-3100

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13590/brand/1/csg/1/fhir/r4

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

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": "1465171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465171200000",
    "number": "1245689777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2340 PATRICK HENRY PKWY",
            "address_2": "150",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302534325",
            "telephone_number": "678-866-3646",
            "fax_number": "678-804-6862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2340 PATRICK HENRY PKWY",
            "address_2": "150",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302534325",
            "telephone_number": "678-866-3646",
            "fax_number": "678-804-6862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPORTS AND SPINE INSTITUTE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ATLANTA SPORTS AND SPINE",
        "enumeration_date": "2016-06-06",
        "last_updated": "2016-06-06",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "AMRISH",
        "authorized_official_middle_name": "DINUBHAI",
        "authorized_official_title_or_position": "MD/PRESIDENT",
        "authorized_official_telephone_number": "706-580-3607",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "GA",
            "license": "067950",
            "primary": true
        },
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "GA",
            "license": "067950",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McDonough, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2016; 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.