NPIMap

Organization Active NPI

Injury Centers of Atlanta L.L.C

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Atlanta, GA
National Provider Identifier
1669690723
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
038164-1994 Issued in GA
Legal business name
INJURY CENTERS OF ATLANTA L.L.C
Practice address
4186 Buford Hwy NE Ste F
Atlanta, GA 30345-1067
Phone
(404) 638-6060
NPI assigned
Apr 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Phillip Dang, D.C.
Title
President
Phone
(404) 638-6060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2081P2900X 038164-1994 GA Primary

Addresses

Primary practice location

4186 Buford Hwy NE Ste F
Atlanta, GA 30345-1067

Mailing address

2566 Shallowford Rd NE Ste 104-308
Atlanta, GA 30345-1202
Phone (404) 638-6060

National Provider Directory

National Provider Directory

Locations

2566 Shallowford Rd NE
Ste 104308
Atlanta, GA 30345

4186 Buford Hwy NE
Ste F
Atlanta, GA 30345
Phone (404) 638-6060

Practitioners & affiliated clinicians

Practitioners 3

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": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669690723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2566 SHALLOWFORD RD NE STE 104-308",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303451202",
            "telephone_number": "404-638-6060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4186 BUFORD HWY NE STE F",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303451067",
            "telephone_number": "404-638-6060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INJURY CENTERS OF ATLANTA L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DANG",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "404-638-6060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "GA",
            "license": "038164-1994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.