Interventional Spine and Pain Management Center, PC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

INTERVENTIONAL SPINE AND PAIN MANAGEMENT CENTER, PC

Practice address

6002 Hwy 52 East
Suite 110
Dawsonville, GA 30534

Phone

(404) 920-4950

NPI assigned

Mar 3, 2016

Last updated

May 16, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Victoria Beck, CFO

Title

Cfo

Phone

(404) 920-4950

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Interventional Spine and Pain Management Center, PC

  dba Alliance Spine and Pain Centers

  • Interventional Pain Medicine Physician
  • Conyers, GA
  • NPI 1023481918

  O20070130000066

  Same enrollment
• Interventional Spine and Pain Management Center, PC

  • Interventional Pain Medicine Physician
  • Decatur, GA
  • NPI 1154780914

  O20070130000066

  Same enrollment
• Interventional Spine and Pain Management, PC

  • Anesthesiology Physician
  • Covington, GA
  • NPI 1275633372

  O20070130000066

  Same enrollment
• The Interventional Spine and Pain Management Center PC

  • Interventional Pain Medicine Physician
  • Atlanta, GA
  • NPI 1326409566

  O20070130000066

  Same enrollment
• The Interventional Spine and Pain Management Center PC

  • Interventional Pain Medicine Physician
  • Cartersville, GA
  • NPI 1376999094

  O20070130000066

  Same enrollment
• The Interventional Spine and Pain Management Center, PC

  dba Alliance Spine and Pain Centers

  • Interventional Pain Medicine Physician
  • Conyers, GA
  • NPI 1518012004

  O20070130000066

  Same enrollment

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

{
    "created_epoch": "1456963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463356800000",
    "number": "1265892293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6002 HWY 52 EAST",
            "address_2": "SUITE 110",
            "city": "DAWSONVILLE",
            "state": "GA",
            "postal_code": "30534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6002 HWY 52 EAST",
            "address_2": "SUITE 110",
            "city": "DAWSONVILLE",
            "state": "GA",
            "postal_code": "30534",
            "telephone_number": "404-920-4950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERVENTIONAL SPINE AND PAIN MANAGEMENT CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-03",
        "last_updated": "2016-05-16",
        "status": "A",
        "authorized_official_last_name": "BECK",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "404-920-4950",
        "authorized_official_credential": "CFO"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Hutton
• Independent Physical Therapy of Ga, LLC (Benchmark PT)
• Independent Physical Therapy of Ga, LLC
• Independent Physical Therapy of Ga, LLC
• Interventional Spine and Pain Management Center, PC (Alliance Spine and Pain Centers)
• Srividya Ganesh Iyer, NP
• Rachel I Jacobs, MD
• Ashley Lashey James, PHARM.D.
• Courtney Jenkins, PT, DPT
• Jennifer Carson Dba Carson Counseling

• Interventional Pain Medicine Physician in Dawsonville, GA
• Providers in Dawsonville, GA by specialty
• Interventional Pain Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.