Atlanta Interventional Pain Management, LLC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

ATLANTA INTERVENTIONAL PAIN MANAGEMENT, LLC

Practice address

13190 Highway 92 Ste 120
Woodstock, GA 30188-4406

Phone

(770) 675-9134

Fax

(770) 926-9284

NPI assigned

Mar 2, 2020

Organization subpart

No

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

Authorized official

Name

Diana Bodden

Title

Manager

Phone

(404) 789-0985

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1583107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590451200000",
    "number": "1679107338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13190 HIGHWAY 92 STE 120",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301884406",
            "telephone_number": "770-675-9134",
            "fax_number": "770-926-9284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13190 HIGHWAY 92 STE 120",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301884406",
            "telephone_number": "770-675-9134",
            "fax_number": "770-926-9284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTA INTERVENTIONAL PAIN MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-02",
        "last_updated": "2020-05-26",
        "certification_date": "2020-05-26",
        "status": "A",
        "authorized_official_last_name": "BODDEN",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "404-789-0985"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "billing@e-teamconsultants.com",
            "affiliation": "N",
            "address_1": "13190 Highway 92 Ste 120",
            "city": "Woodstock",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301884406",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sohail Asfandiyar, MD
• Dennis J Aspy, LPC, NCC
• Kevin Astor
• Karina Lynn Atienza
• Atlanta Counseling Insight, LLC
• Atlanta North Dermatology & Skin Care, Inc.
• Atlanta Pediatric Nutrition, Inc.
• Atlanta Premier Foot and Ankle Surgery
• Atlanta Total Foot and Ankle Care
• Atlas Chiropractic of Woodstock LLC (Atlas Chiropractic of Woodstock)

• Interventional Pain Medicine Physician in Woodstock, GA
• Providers in Woodstock, GA by specialty
• Interventional Pain Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 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.