Spine and Orthopedics of Atlanta, LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

SPINE AND ORTHOPEDICS OF ATLANTA, LLC

Practice address

1462 Montreal Rd Ste 218
Tucker, GA 30084

Phone

(470) 294-0863

Fax

(470) 294-0889

NPI assigned

Oct 1, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Damien Doute, MD

Title

Owner/Physician

Phone

(470) 440-5848

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1443657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536192000000",
    "number": "1265802318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1462 MONTREAL RD STE 218",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300846931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1462 MONTREAL RD STE 218",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "30084",
            "telephone_number": "470-294-0863",
            "fax_number": "470-294-0889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE AND ORTHOPEDICS OF ATLANTA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-01",
        "last_updated": "2018-09-06",
        "status": "A",
        "authorized_official_last_name": "DOUTE",
        "authorized_official_first_name": "DAMIEN",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "470-440-5848",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "728513163A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Specialty Care, LLC
• Speech Spa, LLC.
• Lily Spencer, MSW
• William Edward Spencer, MA, LAPC
• Caroline Ekwurtzel Spillers
• Spine Specialists of Atlanta, LLC
• Louise M Spiro, LCSW
• Saren Paige Sportsman, RD, LD
• Trudy Post Sprunk
• Jessica Spruyt, M.S., CCC-SLP

• Medical Specialty Clinic/Center in Tucker, GA
• Providers in Tucker, GA by specialty
• Medical Specialty Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2018; 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.