NPIMap

Organization Active NPI

Physicians Spine and Rehab Specialists of Ga

  • Specialist
  • Sandy Springs, GA
National Provider Identifier
1710946322
Registry record updated Jul 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
050988 Issued in GA
Legal business name
PHYSICIANS SPINE AND REHAB SPECIALISTS OF GA
Practice address
5730 Glenridge Dr NE
Suite 100
Sandy Springs, GA 30328-6141
Phone
(404) 816-3000
NPI assigned
Mar 22, 2006
Last updated
Jul 3, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
PHYSICIANS SPINE AND REHAB SPECIALISTS OF GAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 3, 2024

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

Authorized official

Name
Anna Armstrong
Title
Director
Phone
(404) 816-3000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 050988 GA Primary

Addresses

Primary practice location

5730 Glenridge Dr NE
Suite 100
Sandy Springs, GA 30328-6141

Mailing address

790 Church St NE
Suite 550
Marietta, GA 30060-7282
Phone (770) 419-9902

Other practice location 1

790 Church St NE Ste 550
Marietta, GA 30060-8958
Phone (770) 419-9902

Other practice location 2

18 Riverbend Dr SW Ste 100
Rome, GA 30161-6019
Phone (706) 314-1900

Other practice location 3

790 Church St NE Ste 520
Marietta, GA 30060-7282
Phone (770) 419-9902

Other practice location 4

3855 Pleasant Hill Rd Ste 380
Duluth, GA 30096-8093
Phone (770) 679-7000

Other practice location 5

1035 Southcrest Dr Ste 250
Stockbridge, GA 30281-6117
Phone (678) 275-2200

Other practice location 6

1060 Red Bud Rd NE
Calhoun, GA 30701-2081
Phone (706) 314-1910

Other practice location 7

3855 Pleasant Hill Rd Ste 380
Duluth, GA 30096-8093
Phone (770) 679-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040211000575 GA Part B Supplier - Clinic/Group Practice 6002700960 Receives reassigned benefits from 17 practitioners
Practice locations: Calhoun, GA; Duluth, GA; Murietta, GA; Rome, GA; Sandy Springs, GA; Stockbridge, GA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Part of
Physicians Pain Rehab S

Locations

3855 Pleasant Hill Rd
Ste 380
Duluth, GA 30096
Phone (404) 816-3000

790 Church St NE
Ste 520
Marietta, GA 30060
Phone (404) 816-3000

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1142985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719964800000",
    "number": "1710946322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 CHURCH ST NE",
            "address_2": "SUITE 550",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300607282",
            "telephone_number": "770-419-9902",
            "fax_number": "770-419-7457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5730 GLENRIDGE DR NE",
            "address_2": "SUITE 100",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303286141",
            "telephone_number": "404-816-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "790 Church St NE Ste 550",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "GA",
            "postal_code": "300608958",
            "country_code": "US",
            "telephone_number": "770-419-9902",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18 Riverbend Dr SW Ste 100",
            "address_purpose": "LOCATION",
            "city": "Rome",
            "state": "GA",
            "postal_code": "301616019",
            "country_code": "US",
            "telephone_number": "706-314-1900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "790 Church St NE Ste 520",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "GA",
            "postal_code": "300607282",
            "country_code": "US",
            "telephone_number": "770-419-9902",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3855 Pleasant Hill Rd Ste 380",
            "address_purpose": "LOCATION",
            "city": "Duluth",
            "state": "GA",
            "postal_code": "300968093",
            "country_code": "US",
            "telephone_number": "770-679-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1035 Southcrest Dr Ste 250",
            "address_purpose": "LOCATION",
            "city": "Stockbridge",
            "state": "GA",
            "postal_code": "302816117",
            "country_code": "US",
            "telephone_number": "678-275-2200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1060 Red Bud Rd NE",
            "address_purpose": "LOCATION",
            "city": "Calhoun",
            "state": "GA",
            "postal_code": "307012081",
            "country_code": "US",
            "telephone_number": "706-314-1910",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3855 Pleasant Hill Rd Ste 380",
            "address_purpose": "LOCATION",
            "city": "Duluth",
            "state": "GA",
            "postal_code": "300968093",
            "country_code": "US",
            "telephone_number": "770-679-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PHYSICIANS SPINE AND REHAB SPECIALISTS OF GA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PHYSICIANS SPINE AND REHAB SPECIALISTS OF GA",
        "enumeration_date": "2006-03-22",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A",
        "authorized_official_last_name": "ARMSTRONG",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "404-816-3000"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "050988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandy Springs, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.