Organization Active NPI

Empire Interventional Pain & Ortho, LLC

  • Interventional Pain Medicine Physician
  • Suwanee, GA
National Provider Identifier
1548171861
Registry record updated Sep 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
EMPIRE INTERVENTIONAL PAIN & ORTHO, LLC
Practice address
3011 Sutton Gate Dr Ste 210
Suwanee, GA 30024-5153
Phone
(678) 730-6240
Fax
(678) 730-1005
NPI assigned
Sep 15, 2026
Last updated
Sep 15, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2026

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

Authorized official

Name
Alex Jutis
Title
Ceo
Phone
(678) 730-6240

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X NU Primary

Addresses

Primary practice location

3011 Sutton Gate Dr Ste 210
Suwanee, GA 30024-5153

Mailing address

3011 Sutton Gate Dr Ste 210
Suwanee, GA 30024-5153
Phone (678) 730-6240

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1789430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789430400000",
    "number": "1548171861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3011 SUTTON GATE DR STE 210",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300245153",
            "telephone_number": "678-730-6240",
            "fax_number": "678-730-1005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3011 SUTTON GATE DR STE 210",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300245153",
            "telephone_number": "678-730-6240",
            "fax_number": "678-730-1005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPIRE INTERVENTIONAL PAIN & ORTHO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-15",
        "last_updated": "2026-09-15",
        "certification_date": "2026-09-15",
        "status": "A",
        "authorized_official_last_name": "JUTIS",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-730-6240"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suwanee, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.