Organization Active NPI

Spine & Sacroiliac Specialists, LLC

  • Neurological Surgery Physician
  • Atlanta, GA
National Provider Identifier
1316977283
Registry record updated Dec 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
053079 Issued in GA
Legal business name
SPINE & SACROILIAC SPECIALISTS, LLC
Practice address
550 Peachtree St NE
#1770
Atlanta, GA 30308-2247
Phone
(404) 577-5459
NPI assigned
Jul 4, 2006
Last updated
Dec 5, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2007

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

Authorized official

Name
Michael A Amaral, MDNPI 1477587756
Title
Owner
Phone
(404) 577-5459

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 053079 GA Primary

Addresses

Primary practice location

550 Peachtree St NE
#1770
Atlanta, GA 30308-2247

Mailing address

3025 Breckinridge Blvd
Suite 120
Duluth, GA 30096-7611
Phone (678) 226-0082

National Provider Directory

National Provider Directory

Locations

550 Peachtree St NE
Ste 1770
Atlanta, GA 30308
Phone (404) 577-5455

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196812800000",
    "number": "1316977283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3025 BRECKINRIDGE BLVD",
            "address_2": "SUITE 120",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300967611",
            "telephone_number": "678-226-0082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 PEACHTREE ST NE",
            "address_2": "#1770",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303082247",
            "telephone_number": "404-577-5459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE & SACROILIAC SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2007-12-05",
        "status": "A",
        "authorized_official_last_name": "AMARAL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-577-5459",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "GA",
            "license": "053079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2007; 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.