Interventional Spine and Pain Management Center, PC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

INTERVENTIONAL SPINE AND PAIN MANAGEMENT CENTER, PC

Doing business as

Alliance Spine and Pain Centers

Practice address

3870 Medical Park Dr
Austell, GA 30106-1110

Phone

(770) 929-9033

Fax

(770) 929-9092

NPI assigned

Jan 18, 2016

Last updated

Jan 18, 2016By 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

Victoria Beck

Title

Cfo

Phone

(404) 403-8310

Specialties & licenses 1

Addresses

Other names 1

• Alliance Spine and Pain Centers Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Other NPIs with the same Medicare PAC ID 4

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

• The Interventional Spine and Pain Management Center PC

  dba Alliance Spine and Pain Centers

  • Interventional Pain Medicine Physician
  • Cumming, GA
  • NPI 1447963608

  2769483031

  Same PAC ID
• The Interventional Spine and Pain Management Center PC

  • Interventional Pain Medicine Physician
  • Marietta, GA
  • NPI 1649626375

  2769483031

  Same PAC ID
• The Interventional Spine and Pain Management Center, PC

  dba Alliance Spine and Pain Centers

  • Interventional Pain Medicine Physician
  • Conyers, GA
  • NPI 1518012004

  2769483031

  Same PAC ID
• The Interventional Spine and Pain Management Center, PC

  • Interventional Pain Medicine Physician
  • Covington, GA
  • NPI 1972963635

  2769483031

  Same PAC ID

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

CLIA laboratory certificates

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.

• Rachel Arnett Eicher

  • Medical Physician Assistant
  • Augusta, GA
  • NPI 1164906996

  Single Specialty

  NPD (past)
• Pallavi Gupta, M.D.

  • Interventional Pain Medicine Physician
  • Austell, GA
  • NPI 1043503824
  NPD (past)
• Scott Masson, D.O.

  • Interventional Pain Medicine Physician
  • Jasper, GA
  • NPI 1154700011
  NPD (past)

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

{
    "created_epoch": "1453075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453075200000",
    "number": "1538526876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3390 PEACHTREE RD NE",
            "address_2": "SUITE1500",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303261157",
            "telephone_number": "404-920-4950",
            "fax_number": "404-920-4959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3870 MEDICAL PARK DR",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301061110",
            "telephone_number": "770-929-9033",
            "fax_number": "770-929-9092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERVENTIONAL SPINE AND PAIN MANAGEMENT CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-18",
        "last_updated": "2016-01-18",
        "status": "A",
        "authorized_official_last_name": "BECK",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "404-403-8310"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alliance Spine and Pain Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• In Home Health LLC (Heartland Hospice Services)
• Independent Physical Therapy of Georgia, LLC (BenchMark Physical Therapy)
• Christa H Ingle, FNP-BC
• Integra Clinical Services, LLC-Ga
• Integrity EMS LLC
• Invision
• Julian T Isakow, M.D.
• Isd Renal Inc (Austell Renal Center)
• Frank T Italiano, MD
• Karen Belinda Ivey, FNP-C

• Interventional Pain Medicine Physician in Austell, GA
• Providers in Austell, GA by specialty
• Interventional Pain Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2016; 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.