Organization Active NPI

Laser Spine & Pain Centers LLC

  • Pain Clinic/Center
  • Villa Rica, GA
National Provider Identifier
1346763190
Registry record updated Aug 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
Legal business name
LASER SPINE & PAIN CENTERS LLC
Practice address
403 Permian Way Ste C
Villa Rica, GA 30180-3252
Phone
(770) 627-7246
NPI assigned
Jul 24, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2025

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

Authorized official

Name
V.K. Puppala, MD
Title
Owner
Phone
(770) 627-7246

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Clinic/Center 261QP3300X Primary

Addresses

Primary practice location

403 Permian Way Ste C
Villa Rica, GA 30180-3252

Mailing address

403 Permian Way Ste C
Villa Rica, GA 30180-3252
Phone (770) 627-7246

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D2169071Laser Spine & Pain Centers, LLC403 Permian Way, Suite C, Villa Rica, GA 30180Certificate of waiverJul 15, 2027

National Provider Directory

National Provider Directory

Locations

939 Bob Arnold Blvd
Ste G
Lithia Springs, GA 30122
Phone (470) 827-3648

403 Permian Way
Ste D
Villa Rica, GA 30180
Phone (470) 827-3648

Practitioners & affiliated clinicians

Practitioners 1

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": "1500854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754611200000",
    "number": "1346763190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 PERMIAN WAY STE C",
            "city": "VILLA RICA",
            "state": "GA",
            "postal_code": "301803252",
            "telephone_number": "770-627-7246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 PERMIAN WAY STE C",
            "city": "VILLA RICA",
            "state": "GA",
            "postal_code": "301803252",
            "telephone_number": "770-627-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LASER SPINE & PAIN CENTERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-24",
        "last_updated": "2025-08-08",
        "certification_date": "2025-08-08",
        "status": "A",
        "authorized_official_last_name": "PUPPALA",
        "authorized_official_first_name": "V.K.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-627-7246",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Villa Rica, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.