Pain Spine MD LLC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

PAIN SPINE MD LLC

Practice address

3993 Lawrenceville Hwy NW Ste 115
Lilburn, GA 30047-2831

Phone

(404) 654-3199

NPI assigned

Jun 29, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Emily Kurokowa, MD

Title

Physician / Owner

Phone

(404) 433-0346

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Emily Miyuki Kurokawa, M.D.

  • Anesthesiology Physician
  • Duluth, GA
  • NPI 1326453796
  NPD

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

{
    "created_epoch": "1593388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593388800000",
    "number": "1306463013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2721 FLORAL VALLEY DR",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300197240",
            "telephone_number": "404-433-0346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3993 LAWRENCEVILLE HWY NW STE 115",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300472831",
            "telephone_number": "404-654-3199"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3625 Braselton Hwy Ste 201",
            "address_purpose": "LOCATION",
            "city": "Dacula",
            "state": "GA",
            "postal_code": "300194695",
            "country_code": "US",
            "telephone_number": "678-404-2220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PAIN SPINE MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-29",
        "last_updated": "2020-06-29",
        "certification_date": "2020-06-29",
        "status": "A",
        "authorized_official_last_name": "KUROKOWA",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "PHYSICIAN / OWNER",
        "authorized_official_telephone_number": "404-433-0346",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tanyetta Nicole Osborne
• Abosede A Oshinubi, RD, LD
• Outreach Pharmacy LLC
• Lida Paez, DMD
• Paige M Black DC, LLP
• Tessica Paisley
• Jorge Alejandro Paladines, D.M.D.
• Quovadis Pallord, RBT
• Lendy Elizabeth Palmer
• Srutte Panta

• Anesthesiology Physician in Lilburn, GA
• Providers in Lilburn, GA by specialty
• Anesthesiology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.