Organization Active NPI

Pain & Wellness Center of North Fulton

  • Sports Medicine (Neuromusculoskeletal Medicine) Physician
  • Alpharetta, GA
National Provider Identifier
1720358401
Registry record updated Jan 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Neuromusculoskeletal Medicine) PhysicianTaxonomy code 204C00000X
License
67046 Issued in GA
Legal business name
PAIN & WELLNESS CENTER OF NORTH FULTON
Practice address
4180 Old Milton Pkwy
1C
Alpharetta, GA 30005-2408
Phone
(770) 754-1000
Fax
(770) 754-1010
NPI assigned
Jan 11, 2012
Last updated
Jan 11, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2012

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

Authorized official

Name
Dr. Regina M Syed, DCNPI 1114042066
Title
Chiropractor
Phone
(770) 754-1000

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
Sports Medicine (Neuromusculoskeletal Medicine) Physician 204C00000X 67046 GA Primary

Addresses

Primary practice location

4180 Old Milton Pkwy
1C
Alpharetta, GA 30005-2408

Mailing address

4180 Old Milton Pkwy
1C
Alpharetta, GA 30005-2408
Phone (770) 754-1000

National Provider Directory

National Provider Directory

Locations

4180 Old Milton Pkwy
Ste 1C
Alpharetta, GA 30005
Phone (770) 754-1000

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1326240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326240000000",
    "number": "1720358401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4180 OLD MILTON PKWY",
            "address_2": "1C",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300052408",
            "telephone_number": "770-754-1000",
            "fax_number": "770-754-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4180 OLD MILTON PKWY",
            "address_2": "1C",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300052408",
            "telephone_number": "770-754-1000",
            "fax_number": "770-754-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN & WELLNESS CENTER OF NORTH FULTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-11",
        "last_updated": "2012-01-11",
        "status": "A",
        "authorized_official_last_name": "SYED",
        "authorized_official_first_name": "REGINA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "770-754-1000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "204C00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": "GA",
            "license": "67046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2012; 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.