NPIMap

Organization Active NPI

Specialty Spine and Pain PC

  • Specialist
  • Gainesville, GA
National Provider Identifier
1447359112
Registry record updated Sep 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
SPECIALTY SPINE AND PAIN PC
Practice address
1250 Jesse Jewell Pkwy SE
Ste 200
Gainesville, GA 30501-3871
Phone
(770) 297-7277
NPI assigned
Sep 21, 2006
Last updated
Sep 17, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
SPECIALTY MANAGMENT COMPANYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 17, 2025

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

Authorized official

Name
Nicole Finkle
Title
RCM Sr. Director
Phone
(719) 243-9490

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X GA Primary

Addresses

Primary practice location

1250 Jesse Jewell Pkwy SE
Ste 200
Gainesville, GA 30501-3871

Mailing address

4960 SW 72ND Ave Ste 405
Miami, FL 33155-5506
Phone (469) 458-9222

Other practice location 1

2695 Old Winder HWY
Braselton, GA 30517-6076
Phone (727) 297-7277

Other practice location 2

1498 Jesse Jewell
Suite D
Gainesville, GA 30501-3874
Phone (770) 297-7277

Other practice location 3

505 Friendship RD
Ste 100
Buford, GA 30518-1715
Phone (770) 297-7277

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050217000150 GA Part B Supplier - Clinic/Group Practice 9931151032 Receives reassigned benefits from 12 practitioners
Practice locations: Braselton, GA; Gainesville, GA; Buford, GA

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Specialty Spine and Pain PC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

5005 Lanier Islands Pkwy
#B5
Buford, GA 30518

5005 Lanier Islands Pkwy
Bldg BSTE500
Buford, GA 30518

5005 Lanier Islands Pkwy
Ste 300
Buford, GA 30518
Phone (770) 271-3458

1250 Jesse Jewell Pkwy SE
Ste 200
Gainesville, GA 30501
Phone (770) 532-6341

1498 Jesse Jewell Pkwy SE
Ste D
Gainesville, GA 30501
Phone (678) 450-4757

3060 Williams Dr
Ste 510
Fairfax, VA 22031

Practitioners & affiliated clinicians

Practitioners 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758067200000",
    "number": "1447359112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4960 SW 72ND AVE STE 405",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331555506",
            "telephone_number": "469-458-9222",
            "fax_number": "540-918-7202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 JESSE JEWELL PKWY SE",
            "address_2": "STE 200",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305013871",
            "telephone_number": "770-297-7277"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2695 Old Winder HWY",
            "address_purpose": "LOCATION",
            "city": "Braselton",
            "state": "GA",
            "postal_code": "305176076",
            "country_code": "US",
            "telephone_number": "727-297-7277",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1498 Jesse Jewell",
            "address_2": "Suite D",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "GA",
            "postal_code": "305013874",
            "country_code": "US",
            "telephone_number": "770-297-7277",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "505 Friendship RD",
            "address_2": "Ste 100",
            "address_purpose": "LOCATION",
            "city": "Buford",
            "state": "GA",
            "postal_code": "305181715",
            "country_code": "US",
            "telephone_number": "770-297-7277",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SPECIALTY SPINE AND PAIN PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SPECIALTY MANAGMENT COMPANY",
        "enumeration_date": "2006-09-21",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "status": "A",
        "authorized_official_last_name": "FINKLE",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "RCM SR. DIRECTOR",
        "authorized_official_telephone_number": "719-243-9490"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.