Sports Spine & Rehab Specialists LLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

68551 Issued in GA

Legal business name

SPORTS SPINE & REHAB SPECIALISTS LLC

Practice address

3379 Peachtree Rd NE # 0
Suite 555
Atlanta, GA 30326-1031

Phone

(404) 965-0874

NPI assigned

Apr 27, 2013

Last updated

Apr 27, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ene Ojile Saint-Preux, M.D.

Title

Physician

Phone

(212) 851-6418

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Practitioners 3

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.

• Sunday Imafidon

  • Family Nurse Practitioner
  • Griffin, GA
  • NPI 1801487293
  Medicare reassignment Care Compare group NPD
• Ene Ojile, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Atlanta, GA
  • NPI 1851585483
  Medicare reassignment Care Compare group NPD
• Ngetla Mbonuh, DNP, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Owings Mills, MD
  • NPI 1477315778

  GA

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1367020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367020800000",
    "number": "1336583871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 CLARIN WAY",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302693439",
            "telephone_number": "404-965-0874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3379 PEACHTREE RD NE # 0",
            "address_2": "SUITE 555",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303261031",
            "telephone_number": "404-965-0874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPORTS SPINE & REHAB SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-27",
        "last_updated": "2013-04-27",
        "status": "A",
        "authorized_official_last_name": "SAINT-PREUX",
        "authorized_official_first_name": "ENE",
        "authorized_official_middle_name": "OJILE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "212-851-6418",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "GA",
            "license": "68551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Spooner, RD, LD, CSG
• Erin C Spoonhour, CRNA
• Margaret Bronaugh Sporn, NP-C
• Michael John Sportiello
• Sports Concussion Institute at Atlanta
• Elizabeth Joy Sposaro, MPH, MSN, C-PNP
• James Todd Spradlin, M.D.
• Kenneth Wayne Spraggins, D.D.S.
• Alexander Hartley Sprague, PA-C
• Mary Sprague, MED. CCC-SLP

• Physical Medicine & Rehabilitation Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Physical Medicine & Rehabilitation Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.