Organization Active NPI

Sandy Springs Pain Center

  • Pain Medicine Physician
  • Sandy Springs, GA
National Provider Identifier
1356635965
Registry record updated Dec 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
023877 Issued in GA
Legal business name
SANDY SPRINGS PAIN CENTER
Practice address
7260 Roswell Rd NE
Sandy Springs, GA 30328-1420
Phone
(678) 336-9065
Fax
(678) 336-9470
NPI assigned
Jun 1, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2011

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

Authorized official

Name
Steven Edson, DC
Title
Owner
Phone
(954) 661-8602

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0000X 023877 GA Primary

Addresses

Primary practice location

7260 Roswell Rd NE
Sandy Springs, GA 30328-1420

Mailing address

7260 Roswell Rd NE
Sandy Springs, GA 30328-1420
Phone (678) 336-9065

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1306886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324512000000",
    "number": "1356635965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7260 ROSWELL RD NE",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303281420",
            "telephone_number": "678-336-9065",
            "fax_number": "678-336-9470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7260 ROSWELL RD NE",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303281420",
            "telephone_number": "678-336-9065",
            "fax_number": "678-336-9470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDY SPRINGS PAIN CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-01",
        "last_updated": "2011-12-22",
        "status": "A",
        "authorized_official_last_name": "EDSON",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-661-8602",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "GA",
            "license": "023877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandy Springs, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2011; 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.