Active NPI
Spine , Muscle and Joint Inc
- Health Service Clinic/Center
- Decatur, GA
National Provider Identifier
1295330561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- Legal business name
- SPINE , MUSCLE AND JOINT INC
- Practice address
- 4319 Covington Hwy Ste 201
Decatur, GA 30035-1206 - Phone
- (678) 505-0000
- NPI assigned
- Dec 3, 2020
- 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
- Mr. Vivek Patel
- Title
- Owner
- Phone
- (678) 505-0000
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Emergency Medicine) Physician | 207PS0010X | |||
| Health Service Clinic/Center | 261QH0100X | Primary | ||
| Pain Clinic/Center | 261QP3300X |
Addresses
Primary practice location
4319 Covington Hwy Ste 201
Decatur, GA 30035-1206
Mailing address
2090 Lawrenceville Suwanee Rd.
Ste a #515
Suwanee, GA 30024
Phone (678) 505-0000
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | officeally | Direct | |
| Direct Messaging Address | info@spinemusclejoint.com | Direct |
National Provider Directory
National Provider DirectoryLocations
4319 Covington Hwy
Ste 201
Decatur, GA 30035
Phone (678) 505-0000
2090 Lawrenceville Suwanee Rd
Ste A
Suwanee, GA 30024
Phone (404) 213-0885
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Decatur, GA
- NPI 1386239572
-
- Chiropractor
- Decatur, GA
- NPI 1669216180
-
- Chiropractor
- Clarksville, TN
- NPI 1558110239
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606953600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1606953600000",
"number": "1295330561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2090 LAWRENCEVILLE SUWANEE RD.",
"address_2": "STE A #515",
"city": "SUWANEE",
"state": "GA",
"postal_code": "30024",
"telephone_number": "678-505-0000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4319 COVINGTON HWY STE 201",
"city": "DECATUR",
"state": "GA",
"postal_code": "300351206",
"telephone_number": "678-505-0000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPINE , MUSCLE AND JOINT INC",
"organizational_subpart": "NO",
"enumeration_date": "2020-12-03",
"last_updated": "2020-12-03",
"certification_date": "2020-12-03",
"status": "A",
"authorized_official_last_name": "PATEL",
"authorized_official_first_name": "VIVEK",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "678-505-0000",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207PS0010X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medicine, Sports Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QP3300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Pain",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "officeally",
"affiliation": "N",
"endpointDescription": "medical software",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "medical records",
"address_1": "4319 Covington Hwy Ste 201",
"city": "Decatur",
"state": "GA",
"country_code": "US",
"postal_code": "300351206",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "info@spinemusclejoint.com",
"affiliation": "N",
"endpointDescription": "office email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "medical records",
"address_1": "4319 Covington Hwy Ste 201",
"city": "Decatur",
"state": "GA",
"country_code": "US",
"postal_code": "300351206",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Decatur, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.