Active NPI
Spine & Sacroiliac Specialists, LLC
- Neurological Surgery Physician
- Atlanta, GA
National Provider Identifier
1316977283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- 053079
- 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, 2007
- 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
- Michael A Amaral, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Neurological Surgery Physician
- Lawrenceville, GA
- NPI 1477587756
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.