Active NPI
Griffin Center for Pain and Spine
- Ambulatory Surgical Clinic/Center
- Griffin, GA
National Provider Identifier
1487014361
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180629001888 | GA | Part B Supplier - Ambulatory Surgical Center | 4082960265 | Practice locations: Griffin, GA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D2115218 | Griffin Center for Pain and Spine | Certificate of waiver | Jun 29, 2028 |
National Provider Directory
National Provider DirectoryMember 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.
-
- Interventional Pain Medicine Physician
- Stockbridge, GA
- NPI 1922549351
-
- Pain Medicine (Anesthesiology) Physician
- Stockbridge, GA
- NPI 1922365733
-
- Pain Medicine Physician
- Stockbridge, GA
- NPI 1831180983
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.