Organization Active NPI

New South Medical Ga, PC

  • Interventional Pain Medicine Physician
  • Marietta, GA
National Provider Identifier
1720934912
Registry record updated Mar 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
NEW SOUTH MEDICAL GA, PC
Practice address
2550 Windy Hill Rd SE Ste 108a
Marietta, GA 30067-8607
Phone
(770) 993-1000
NPI assigned
Mar 9, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2026

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

Authorized official

Name
Dr. Geoffrey Diek, DPTNPI 1033219159
Title
Ceo
Phone
(404) 992-6229

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
Interventional Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0014X Primary

Addresses

Primary practice location

2550 Windy Hill Rd SE Ste 108a
Marietta, GA 30067-8607

Mailing address

2550 Windy Hill Rd SE Ste 108a
Marietta, GA 30067-8607
Phone (770) 993-1000

National Provider Directory

National Provider Directory

Locations

2550 Windy Hill Rd SE
Ste 108A
Marietta, GA 30067
Phone (770) 993-1000

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1773014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773014400000",
    "number": "1720934912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 WINDY HILL RD SE STE 108A",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300678607",
            "telephone_number": "770-993-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 WINDY HILL RD SE STE 108A",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300678607",
            "telephone_number": "770-993-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW SOUTH MEDICAL GA, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-09",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-09",
        "status": "A",
        "authorized_official_last_name": "DIEK",
        "authorized_official_first_name": "GEOFFREY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-992-6229",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2026; 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.