Atlanta Sports and Spine LLC

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

License

067950 Issued in GA

Legal business name

ATLANTA SPORTS AND SPINE LLC

Doing business as

Sports and Spine Institute

Practice address

2340 Patrick Henry Pkwy
150
McDonough, GA 30253-4325

Phone

(678) 866-3646

Fax

(678) 804-6862

NPI assigned

Jun 27, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Amrish Dinubhai Patel, MD

Title

Ceo/Owner

Phone

(706) 580-3607

Specialties & licenses 3

Addresses

Other names 1

• Sports and Spine Institute Doing business as

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Sports and Spine Institute

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • McDonough, GA
  • NPI 1245689777
  NPPES parent name

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

{
    "created_epoch": "1466985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525996800000",
    "number": "1720439136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2340 PATRICK HENRY PKWY",
            "address_2": "150",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302534325",
            "telephone_number": "678-866-3646",
            "fax_number": "678-804-6862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2340 PATRICK HENRY PKWY",
            "address_2": "150",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302534325",
            "telephone_number": "678-866-3646",
            "fax_number": "678-804-6862"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3939 Roswell Rd Ste 240",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "GA",
            "postal_code": "300626285",
            "country_code": "US",
            "telephone_number": "678-866-3646",
            "fax_number": "678-804-6862",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ATLANTA SPORTS AND SPINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-27",
        "last_updated": "2018-05-11",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "AMRISH",
        "authorized_official_middle_name": "DINUBHAI",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "706-580-3607",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "204R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Electrodiagnostic Medicine",
            "state": "GA",
            "license": "067950",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "GA",
            "license": "067950",
            "primary": true
        },
        {
            "code": "2081S0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "GA",
            "license": "067950",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sports and Spine Institute",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sports and Spine Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pain Medicine (Physical Medicine & Rehabilitation) Physician in McDonough, GA
• Providers in McDonough, GA by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2018; 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.