NPIMap

Organization Active NPI

CFS Health Management

Doing business as Commerce Pain Management

  • Specialist
  • Commerce, GA
National Provider Identifier
1386970374
Registry record updated May 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
062097 Issued in GA
Legal business name
CFS HEALTH MANAGEMENT
Doing business as
Commerce Pain Management
Practice address
413 Pottery Factory Dr
Suite a
Commerce, GA 30529-6682
Phone
(706) 423-9449
Fax
(706) 423-9443
NPI assigned
Oct 26, 2009
Last updated
May 9, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2014

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

Authorized official

Name
Walid Diab
Title
Ceo
Phone
(706) 423-9449

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 026067 GA
Specialist 174400000X 062097 GA Primary

Addresses

Primary practice location

413 Pottery Factory Dr
Suite a
Commerce, GA 30529-6682

Mailing address

413 Pottery Factory Dr
Suite a
Commerce, GA 30529-6682
Phone (706) 423-9449

Other identifiers 1

IdentifierTypeStateIssuer
738465785AMedicaidGA

Other names 1

  • COMMERCE PAIN MANAGEMENT Doing business as

National Provider Directory

National Provider Directory

Locations

413 Pottery Factory Dr
Commerce, GA 30529
Phone (706) 423-9449

413 Pottery Factory Dr
Ste A
Commerce, GA 30529
Phone (706) 423-9449

415 Pottery Factory Dr
Ste A
Commerce, GA 30529
Phone (706) 423-9449

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1256515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399593600000",
    "number": "1386970374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 POTTERY FACTORY DR",
            "address_2": "SUITE A",
            "city": "COMMERCE",
            "state": "GA",
            "postal_code": "305296682",
            "telephone_number": "706-423-9449",
            "fax_number": "706-423-9443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 POTTERY FACTORY DR",
            "address_2": "SUITE A",
            "city": "COMMERCE",
            "state": "GA",
            "postal_code": "305296682",
            "telephone_number": "706-423-9449",
            "fax_number": "706-423-9443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CFS HEALTH MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-26",
        "last_updated": "2014-05-09",
        "status": "A",
        "authorized_official_last_name": "DIAB",
        "authorized_official_first_name": "WALID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "706-423-9449"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "026067",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "062097",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "738465785A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COMMERCE PAIN MANAGEMENT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Commerce, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2014; 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.