Pain Consultants at Piedmont LLC, ASC

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

License

075-541 Issued in GA

Legal business name

PAIN CONSULTANTS AT PIEDMONT LLC, ASC

Practice address

1050 Eagles Landing Pkwy
Ste 300
Stockbridge, GA 30281-9018

Phone

(678) 782-7999

NPI assigned

Aug 19, 2015

Last updated

Jul 27, 2020By 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

William Epps, MDNPI 1982765285

Title

Provider

Phone

(678) 782-7999

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1619343100. Details of each certification follow.

• CCN 11C0001450 Ambulatory surgical center · Active · Name & address match · Details

Ambulatory surgical center certification: CCN 11C0001450

Legal name

PAIN CONSULTANTS AT PIEDMONT, LLC

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Aug 9, 2016

Last certification

Jul 31, 2019

Ownership / control type

Proprietary

Facility address

1050 Eagles Landing Parkway Suite 300
Stockbridge, GA 30281

Locations

Practitioners 1

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.

• William J Epps, MD

  • Interventional Pain Medicine Physician
  • Suwanee, GA
  • NPI 1982765285
  NPD (past) Authorized official

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

{
    "created_epoch": "1439942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595808000000",
    "number": "1619343100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 EAGLES LANDING PKWY",
            "address_2": "SUITE 300",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302819018",
            "telephone_number": "678-782-7999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 EAGLES LANDING PKWY",
            "address_2": "STE 300",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302819018",
            "telephone_number": "678-782-7999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN CONSULTANTS AT PIEDMONT LLC, ASC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-19",
        "last_updated": "2020-07-27",
        "certification_date": "2020-07-27",
        "status": "A",
        "authorized_official_last_name": "EPPS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "678-782-7999",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "GA",
            "license": "075-541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarai Padilla, PSY.D.
• Pain Care Center of Georgia LLC
• Pain Care LLC
• Pain Center at Piedmont LLC. ASC
• Pain Center at Piedmont, LLC
• Pain Management Specialist of Atlanta PC
• Pain Management Specialists of Atlanta P C
• Pain Management Specialists of Atlanta PC
• Pain Specialist Corp.
• Vincent Edward Pair, DNP, FNP-BC, RD

• Pain Clinic/Center in Stockbridge, GA
• Providers in Stockbridge, GA by specialty
• Pain Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.