Organization Active NPI

Spine , Muscle and Joint Inc

  • Health Service Clinic/Center
  • Decatur, GA
National Provider Identifier
1295330561
Registry record updated Dec 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
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

Updated by the provider on Dec 3, 2020

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)CodeLicenseStatePrimary
Sports Medicine (Emergency Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

TypeEndpointUseAffiliation
CONNECT URL officeally Direct
Direct Messaging Address info@spinemusclejoint.com Direct

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.