Active NPI
Comprehensive Spine & Pain LLC
- Pain Medicine Physician
- Villa Rica, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- Legal business name
- COMPREHENSIVE SPINE & PAIN LLC
- Practice address
- 403 Permian Way Ste D
Villa Rica, GA 30180-3226 - Phone
- (770) 627-7246
- Fax
- (855) 332-9452
- NPI assigned
- Jan 4, 2018
- Last updated
- Jan 4, 2018
- 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
- Vinaya K. Puppala
- Title
- MD/Owner
- Phone
- (770) 627-7246
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 |
|---|---|---|---|---|
| Pain Medicine Physician | 208VP0000X | Primary |
Addresses
Primary practice location
403 Permian Way Ste D
Villa Rica, GA 30180-3226
Mailing address
PO Box 20476
Belfast, ME 04915-4099
Phone (770) 627-7246
National Provider Directory
National Provider DirectoryLocations
5055 Roswell Rd
Ste 350a
Atlanta, GA 30342
1533 Pleasant Hill Rd
Duluth, GA 30096
Phone (770) 931-3434
2550 Windy Hill Rd SE
Ste 310
Marietta, GA 30067
34 Upper Riverdale Rd SE
Ste 203
Riverdale, GA 30274
Phone (770) 907-7973
403 Permian Way
Ste D
Villa Rica, GA 30180
Phone (470) 827-3648
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Interventional Pain Medicine Physician
- Atlanta, GA
- NPI 1548426810
-
- Family Medicine Physician
- Decatur, GA
- NPI 1225253826
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515024000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1515024000000",
"number": "1376050971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 20476",
"city": "BELFAST",
"state": "ME",
"postal_code": "049154099",
"telephone_number": "770-627-7246",
"fax_number": "855-332-9452"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "403 PERMIAN WAY STE D",
"city": "VILLA RICA",
"state": "GA",
"postal_code": "301803226",
"telephone_number": "770-627-7246",
"fax_number": "855-332-9452"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMPREHENSIVE SPINE & PAIN LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-01-04",
"last_updated": "2018-01-04",
"status": "A",
"authorized_official_last_name": "PUPPALA",
"authorized_official_first_name": "VINAYA",
"authorized_official_middle_name": "K.",
"authorized_official_title_or_position": "MD/OWNER",
"authorized_official_telephone_number": "770-627-7246"
},
"taxonomies": [
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"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 Jan 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.