Active NPI
Interventional Spine and Pain Management Center, PC
- Interventional Pain Medicine Physician
- Atlanta, GA
National Provider Identifier
1649939976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- Legal business name
- INTERVENTIONAL SPINE AND PAIN MANAGEMENT CENTER, PC
- Practice address
- 1100 Lake Hearn Dr Ste 330
Atlanta, GA 30342-1523 - Phone
- (404) 920-4950
- NPI assigned
- Dec 14, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Erin Sherrod
- Title
- Manager
- Phone
- (404) 920-4972
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Pain Medicine Physician | 208VP0014X | Primary |
Addresses
Primary practice location
1100 Lake Hearn Dr Ste 330
Atlanta, GA 30342-1523
Mailing address
3390 Peachtree Rd NE Ste 1500
Atlanta, GA 30326-2822
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D2265470 | Interventional Spine and Pain Management, PC | Certificate of waiver | Jul 27, 2028 |
National Provider Directory
National Provider DirectoryLocations
1100 Lake Hearn Dr
Ste 330
Sandy Springs, GA 30342
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1639440000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1639440000000",
"number": "1649939976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3390 PEACHTREE RD NE STE 1500",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303262822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 LAKE HEARN DR STE 330",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303421523",
"telephone_number": "404-920-4950"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTERVENTIONAL SPINE AND PAIN MANAGEMENT CENTER, PC",
"organizational_subpart": "NO",
"enumeration_date": "2021-12-14",
"last_updated": "2021-12-14",
"certification_date": "2021-12-14",
"status": "A",
"authorized_official_last_name": "SHERROD",
"authorized_official_first_name": "ERIN",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "404-920-4972"
},
"taxonomies": [
{
"code": "208VP0014X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
- International Womens Health Services PC
- Interventional Health
- Interventional Orthopedics of Atlanta LLC
- Interventional Psychiatry Consultants
- Interventional Spine and Pain Management Center, PC
- Intimate Touch Salon /None Surgical Hair Replacement
- Intown Atlanta Psychiatry
- Intown Atlanta Psychiatry
- Intown Child Therapy
- Intown Counseling & Wellness
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.