Organization Active NPI

Athens Regional Health Center LLC

  • Interventional Pain Medicine Physician
  • Athens, GA
National Provider Identifier
1609021260
Registry record updated Dec 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
CHIR007566 Issued in GA
Legal business name
ATHENS REGIONAL HEALTH CENTER LLC
Practice address
1010 Prince Ave
#184N
Athens, GA 30606-5805
Phone
(888) 847-5971
NPI assigned
Nov 24, 2008
Last updated
Dec 26, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2008

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

Authorized official

Name
Dr. Joel Groft
Title
Official
Phone
(888) 847-5971

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0014X CHIR007566 GA Primary

Addresses

Primary practice location

1010 Prince Ave
#184N
Athens, GA 30606-5805

Mailing address

5174 McGinnis Ferry Rd
#146
Alpharetta, GA 30005-1792
Phone (888) 847-5971

National Provider Directory

National Provider Directory

Locations

5174 McGinnis Ferry Rd
Alpharetta, GA 30005
Phone (678) 938-9800

NPI Registry JSON

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

{
    "created_epoch": "1227484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230249600000",
    "number": "1609021260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5174 MCGINNIS FERRY RD",
            "address_2": "#146",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300051792",
            "telephone_number": "888-847-5971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 PRINCE AVE",
            "address_2": "#184N",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306065805",
            "telephone_number": "888-847-5971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATHENS REGIONAL HEALTH CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-24",
        "last_updated": "2008-12-26",
        "status": "A",
        "authorized_official_last_name": "GROFT",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "OFFICIAL",
        "authorized_official_telephone_number": "888-847-5971",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "GA",
            "license": "CHIR007566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2008; 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.