Organization Active NPI

Aspire Spine and Pain Center, LLC

  • Pain Medicine (Anesthesiology) Physician
  • Snellville, GA
National Provider Identifier
1639867930
Registry record updated Apr 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
ASPIRE SPINE AND PAIN CENTER, LLC
Practice address
1569 Janmar Rd Ste F
Snellville, GA 30078-5780
Phone
(470) 622-5143
Fax
(470) 622-5144
NPI assigned
Apr 26, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2026

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

Authorized official

Name
Dr. Mohamed Amin KoronfelNPI 1619395928
Title
MD/Owner
Phone
(470) 622-5143

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

1569 Janmar Rd Ste F
Snellville, GA 30078-5780

Mailing address

1569 Janmar Rd Ste F
Snellville, GA 30078-5780
Phone (470) 622-5143

Other practice location 1

490 Sun Valley Dr Ste 205
Roswell, GA 30076-5642
Phone (770) 790-5888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230809000414 GA Part B Supplier - Clinic/Group Practice 0143682120 Receives reassigned benefits from 1 practitioner
Practice locations: Snellville, GA; Roswell, GA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Aspire Spine and Pain Center LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

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": "1682467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775606400000",
    "number": "1639867930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1569 JANMAR RD STE F",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300785780",
            "telephone_number": "470-622-5143",
            "fax_number": "470-622-5144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1569 JANMAR RD STE F",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300785780",
            "telephone_number": "470-622-5143",
            "fax_number": "470-622-5144"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "490 Sun Valley Dr Ste 205",
            "address_purpose": "LOCATION",
            "city": "Roswell",
            "state": "GA",
            "postal_code": "300765642",
            "country_code": "US",
            "telephone_number": "770-790-5888",
            "fax_number": "770-790-5889",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ASPIRE SPINE AND PAIN CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-26",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A",
        "authorized_official_last_name": "KORONFEL",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_middle_name": "AMIN",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "470-622-5143",
        "authorized_official_name_prefix": "Dr."
    },
    "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 Snellville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.