Griffin Center for Pain and Spine

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

Last updated

Jun 20, 2018By 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

Lindsey Ann Mathes, MSN, RN, CASC

Title

Coo

Phone

(770) 771-6580

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1487014361. Details of each certification follow.

• CCN 110240 Hospital · Terminated · Name & address match · Details
• CCN 11C0001482 Ambulatory surgical center · Active · Name & address match · Details

Hospital certification: CCN 110240

Legal name

GRIFFIN CENTER FOR PAIN AND SPINE

Certification status

Terminated Voluntary: merger or closure, Jun 19, 2020

Provider type (POS)

Hospital – Short-term

Participating since

Apr 15, 2020

Last certification

Apr 15, 2020

Beds

1

Ownership / control type

Private (for profit)

Facility address

619 S 8TH St, Suite 302
Griffin, GA 30224

Ambulatory surgical center certification: CCN 11C0001482

Legal name

GRIFFIN CENTER FOR PAIN AND SPINE, LLC

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Jan 30, 2018

Last certification

Jan 30, 2018

Ownership / control type

Proprietary

Facility address

619 South 8TH Street, Suite 302
Griffin, GA 30224

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

CLIA laboratory certificates

Member of 1

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

• Pain Care LLC

  • Anesthesiology Physician
  • Stockbridge, GA
  • NPI 1265607626

  Member Of

  NPD member

Locations

Practitioners 3

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.

• Christopher Andriano, D.O.

  • Interventional Pain Medicine Physician
  • Stockbridge, GA
  • NPI 1922549351
  NPD (past)
• Mitchell James Donner, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Stockbridge, GA
  • NPI 1922365733
  NPD (past)
• Vincent Galan, MD

  • Pain Medicine Physician
  • Stockbridge, GA
  • NPI 1831180983
  NPD (past)

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": []
}

• Grace Medical Clinic
• Charles Frederick Graci Sr., CRNA
• Greater Biometric Services
• Tracey Greene-Johnson, M.D.
• Griffin Area Resource Center, Inc
• Griffin Dental Specialties
• Griffin Family Dentistry
• Griffin Family Medicine, LLC
• Griffin Imaging, LLC (Griffin Open MRI)
• Griffin Imaging, LLC

• Ambulatory Surgical Clinic/Center in Griffin, GA
• Providers in Griffin, GA by specialty
• Ambulatory Surgical Clinic/Center in Georgia

• 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; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.