Organization Active NPI

Griffin Center for Pain and Spine

  • Ambulatory Surgical Clinic/Center
  • Griffin, GA
National Provider Identifier
1487014361
Registry record updated Jun 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
GRIFFIN CENTER FOR PAIN AND SPINE
Practice address
619 S 8TH St Ste 302
Griffin, GA 30224-4260
Phone
(770) 771-6580
Fax
(770) 771-6589
NPI assigned
Mar 4, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2018

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

Authorized official

Name
Lindsey Ann Mathes, MSN, RN, CASC
Title
Coo
Phone
(770) 771-6580

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

619 S 8TH St Ste 302
Griffin, GA 30224-4260

Mailing address

1365 Rock Quarry Rd Ste 202
Stockbridge, GA 30281-5023
Phone (770) 771-6580

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180629001888 GA Part B Supplier - Ambulatory Surgical Center 4082960265 Practice locations: Griffin, GA

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D2115218Griffin Center for Pain and Spine619 S 8TH St, Griffin, GA 30224Certificate of waiverJun 29, 2028

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

619 S 8th St
Ste 30
Griffin, GA 30224

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1457049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529452800000",
    "number": "1487014361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1365 ROCK QUARRY RD STE 202",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302815023",
            "telephone_number": "770-771-6580",
            "fax_number": "770-771-6589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 S 8TH ST STE 302",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302244260",
            "telephone_number": "770-771-6580",
            "fax_number": "770-771-6589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRIFFIN CENTER FOR PAIN AND SPINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-04",
        "last_updated": "2018-06-20",
        "status": "A",
        "authorized_official_last_name": "MATHES",
        "authorized_official_first_name": "LINDSEY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "770-771-6580",
        "authorized_official_credential": "MSN, RN, CASC"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Griffin, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; 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.