Center for Spine Interventions, PC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

CENTER FOR SPINE INTERVENTIONS, PC

Practice address

2713 Charles Hardy Pkwy Ste 222
Dallas, GA 30157-9470

Phone

(678) 813-2741

Fax

(678) 813-2740

NPI assigned

Aug 21, 2012

Last updated

Aug 7, 2019By 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

Janice Raya

Title

Office Manager

Phone

(678) 813-2741

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA2 enrollments

Enrollment records 2

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

CLIA laboratory certificates

Locations

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.

• Anantha N. Kamath, M.D.

  • Pain Medicine Physician
  • Dallas, GA
  • NPI 1528055027

  Physical Medicine & Rehabilitation

  Medicare reassignment Care Compare group NPD
• Michael S Lott Sr., MD

  • Pain Medicine Physician
  • Dallas, GA
  • NPI 1316122922
  Medicare reassignment Care Compare group NPD
• Lee Q Tian, MD

  • Anesthesiology Physician
  • Marietta, GA
  • NPI 1184240137
  Medicare reassignment Care Compare group NPD
• Virlyn Lewis Bishop, MD

  • Anesthesiology Physician
  • Stockbridge, GA
  • NPI 1255516183
  Medicare reassignment NPD
• Amelia Rose Davis, FNP-C

  • Family Nurse Practitioner
  • Douglasville, GA
  • NPI 1487433975
  NPD

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

{
    "created_epoch": "1345507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565136000000",
    "number": "1437407525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2713 CHARLES HARDY PKWY STE 212",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301579445",
            "telephone_number": "678-813-2741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2713 CHARLES HARDY PKWY STE 222",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301579470",
            "telephone_number": "678-813-2741",
            "fax_number": "678-813-2740"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4450 Calibre Xing NW Ste 1118",
            "address_purpose": "LOCATION",
            "city": "Acworth",
            "state": "GA",
            "postal_code": "301014104",
            "country_code": "US",
            "telephone_number": "678-813-2741",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4586 Timber Ridge Dr Ste 140",
            "address_purpose": "LOCATION",
            "city": "Douglasville",
            "state": "GA",
            "postal_code": "301357513",
            "country_code": "US",
            "telephone_number": "678-813-2741",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CENTER FOR SPINE INTERVENTIONS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-21",
        "last_updated": "2019-08-07",
        "status": "A",
        "authorized_official_last_name": "RAYA",
        "authorized_official_first_name": "JANICE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "678-813-2741"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexa Mary Casares, MS, OTR/L, ASDCS
• Lasundra Caslin
• Amber Catron
• Center Beyond Solutions, LLC
• Center for Spine Interventions ASC 2
• Centerwell Senior Primary Care Ga PC (CenterWell Senior Primary Care-East Paulding)
• Katelyn Chappell, PT, DPT
• Brenda N Charles
• Anuja S Chavda, PHARMD
• Tiffany Chavez

• Interventional Pain Medicine Physician in Dallas, GA
• Providers in Dallas, GA by specialty
• Interventional Pain Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.