NPIMap

Organization Active NPI

Gwinnett Interventional Pain, LLC

  • Pain Medicine (Anesthesiology) Physician
  • Suwanee, GA
National Provider Identifier
1609196971
Registry record updated Jun 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
GWINNETT INTERVENTIONAL PAIN, LLC
Practice address
1090 River Laurel Dr
Suwanee, GA 30024-6932
Phone
(770) 979-9996
Fax
(770) 979-1202
NPI assigned
Jun 9, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2010

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

Authorized official

Name
Judy Chesin
Title
Administrator
Phone
(770) 979-9996

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207LP2900X Primary

Addresses

Primary practice location

1090 River Laurel Dr
Suwanee, GA 30024-6932

Mailing address

1090 River Laurel Dr
Suwanee, GA 30024-6932
Phone (770) 979-9996

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1276041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276041600000",
    "number": "1609196971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1090 RIVER LAUREL DR",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300246932",
            "telephone_number": "770-979-9996",
            "fax_number": "770-979-1202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1090 RIVER LAUREL DR",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300246932",
            "telephone_number": "770-979-9996",
            "fax_number": "770-979-1202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GWINNETT INTERVENTIONAL PAIN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-09",
        "last_updated": "2010-06-09",
        "status": "A",
        "authorized_official_last_name": "CHESIN",
        "authorized_official_first_name": "JUDY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "770-979-9996"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "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 Jun 9, 2010; 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.