NPIMap

Organization Active NPI

Center for Wellness and Pain Care of Las Vegas Inc

  • Pain Clinic/Center
  • Marietta, GA
National Provider Identifier
1659189363
Registry record updated Dec 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
Legal business name
CENTER FOR WELLNESS AND PAIN CARE OF LAS VEGAS INC
Practice address
780 Canton Rd NE Ste 330
Marietta, GA 30060-7289
Phone
(888) 387-0080
NPI assigned
Dec 27, 2024
Organization subpart
Yes
Parent organization
CENTER FOR WELLNESS AND PAIN CARE OF LAS VEGAS INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 27, 2024

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

Authorized official

Name
Neville Campbell, MD/MBANPI 1487881249
Title
Ceo
Phone
(702) 476-9700

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 Clinic/Center 261QP3300X Primary

Addresses

Primary practice location

780 Canton Rd NE Ste 330
Marietta, GA 30060-7289

Mailing address

3495 Buckhead Loop NE # 19018
Atlanta, GA 30326-1528

Other names 1

  • Center for Wellness and Pain Care of America Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Center for Wellness and Pain Care of Las Vegas Inc5 organizations share this tax ID, including this one
Part of
Center for Wellness and Pain Care of Las Vegas Inc

Other organizations with this tax ID 4

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

Locations

3495 Buckhead Loop NE
#19018
Atlanta, GA 30326

780 Canton Rd NE
Ste 330
Marietta, GA 30060
Phone (678) 325-1224

Practitioners & affiliated clinicians

Practitioners 2

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": "1735257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735257600000",
    "number": "1659189363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3495 BUCKHEAD LOOP NE # 19018",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303261528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 CANTON RD NE STE 330",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300607289",
            "telephone_number": "888-387-0080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR WELLNESS AND PAIN CARE OF LAS VEGAS INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTER FOR WELLNESS AND PAIN CARE OF LAS VEGAS INC",
        "enumeration_date": "2024-12-27",
        "last_updated": "2024-12-27",
        "certification_date": "2024-12-27",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "NEVILLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "702-476-9700",
        "authorized_official_credential": "MD/MBA"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center for Wellness and Pain Care of America",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2024; 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.