Craniofacial Pain Center of Georgia PC

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

CRANIOFACIAL PAIN CENTER OF GEORGIA PC

Practice address

200 Ashford Ctr N Ste 195
Atlanta, GA 30338-2668

Phone

(678) 899-6076

Fax

(678) 984-9558

NPI assigned

Aug 31, 2017

Organization subpart

No

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

Authorized official

Name

Mayoor Patel, DDS

Title

Owner

Phone

(678) 899-6076

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1504137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1504137600000",
    "number": "1669990495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 ASHFORD CTR N STE 195",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303382668",
            "telephone_number": "678-899-6076",
            "fax_number": "678-984-9558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 ASHFORD CTR N STE 195",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303382668",
            "telephone_number": "678-899-6076",
            "fax_number": "678-984-9558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRANIOFACIAL PAIN CENTER OF GEORGIA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-31",
        "last_updated": "2017-08-31",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "MAYOOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-899-6076",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Latoya Crane, LPC, MFT
• Sarah Reuter Crane, MD
• Lameshea Dean Cranford, SPEECH THERAPIST
• Shatiya Cranford, PHARMD
• Cranial Technologies Inc
• Katrice Crank, LCSW
• Rashida Cranke
• Kristen Charbonnet Cranmer, CPNP
• Lisa Cranmer, MD, MPH
• Catherine Cranston, NP-C

• Customized Equipment (DME) in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Customized Equipment (DME) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2017; 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.