Organization Active NPI

Pain Solutions of Georgia

  • Pain Medicine Physician
  • Kennesaw, GA
National Provider Identifier
1629302906
Registry record updated Sep 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
Legal business name
PAIN SOLUTIONS OF GEORGIA
Practice address
4286 Bells Ferry Rd NW Ste 201
Kennesaw, GA 30144-1302
Phone
(678) 710-9900
Fax
(678) 710-8588
NPI assigned
Sep 20, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2009

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

Authorized official

Name
Mrs. Leigh W Edwards, CPC
Title
Billing
Phone
(910) 318-9999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0000X Primary

Addresses

Primary practice location

4286 Bells Ferry Rd NW Ste 201
Kennesaw, GA 30144-1302

Mailing address

4286 Bells Ferry Rd NW Ste 201
Kennesaw, GA 30144-1302
Phone (678) 710-9900

National Provider Directory

National Provider Directory

Locations

4286 Bells Ferry Rd NW
Ste 201
Kennesaw, GA 30144
Phone (678) 710-9900

NPI Registry JSON

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

{
    "created_epoch": "1253404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253404800000",
    "number": "1629302906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4286 BELLS FERRY RD NW STE 201",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301441302",
            "telephone_number": "678-710-9900",
            "fax_number": "678-710-8588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4286 BELLS FERRY RD NW STE 201",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301441302",
            "telephone_number": "678-710-9900",
            "fax_number": "678-710-8588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN SOLUTIONS OF GEORGIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-20",
        "last_updated": "2009-09-20",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "LEIGH",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "910-318-9999",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CPC"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennesaw, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2009; 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.