Active NPI
Comprehensive Pain Management, PC
- Interventional Pain Medicine Physician
- Austell, GA
National Provider Identifier
1457435281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- Legal business name
- COMPREHENSIVE PAIN MANAGEMENT, PC
- Practice address
- 3870 Medical Park Drive
Austell, GA 30106-1110 - Phone
- (770) 948-6824
- Fax
- (770) 948-6804
- NPI assigned
- Oct 25, 2006
- 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
- Jaimini A Dave, MD
- Title
- President
- Phone
- (770) 948-6824
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | |||
| Pain Medicine Physician | 208VP0000X | |||
| Interventional Pain Medicine Physician | 208VP0014X | Primary |
Addresses
Primary practice location
3870 Medical Park Drive
Austell, GA 30106-1110
Mailing address
P.O. Box 629
Austell, GA 30168-1006
Phone (770) 948-6824
National Provider Directory
National Provider DirectoryMember organizations 1
Organizations listed as members of this organization in the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1294790400000",
"number": "1457435281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 629",
"city": "AUSTELL",
"state": "GA",
"postal_code": "301681006",
"telephone_number": "770-948-6824",
"fax_number": "770-948-6804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3870 MEDICAL PARK DRIVE",
"city": "AUSTELL",
"state": "GA",
"postal_code": "301061110",
"telephone_number": "770-948-6824",
"fax_number": "770-948-6804"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMPREHENSIVE PAIN MANAGEMENT, PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-25",
"last_updated": "2011-01-12",
"status": "A",
"authorized_official_last_name": "DAVE",
"authorized_official_first_name": "JAIMINI",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "770-948-6824",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology, Pain Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "208VP0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pain Medicine, Pain Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austell, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.