NPIMap

Organization Active NPI

Physical Medicine of Norcross

  • Pain Clinic/Center
  • Norcross, GA
National Provider Identifier
1740566181
Registry record updated Oct 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
License
063309 Issued in GA
Legal business name
PHYSICAL MEDICINE OF NORCROSS
Practice address
6315 Spaulding Dr Ste B
Norcross, GA 30092-4653
Phone
(770) 416-9995
Fax
(770) 416-6777
NPI assigned
Oct 31, 2011
Last updated
Oct 31, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2011

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

Authorized official

Name
Laura Lundrigan
Title
Manager
Phone
(770) 416-9995

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Clinic/Center 261QP3300X 063309 GA Primary

Addresses

Primary practice location

6315 Spaulding Dr Ste B
Norcross, GA 30092-4653

Mailing address

6315 Spaulding Dr Ste B
Norcross, GA 30092-4653
Phone (770) 416-9995

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1320019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320019200000",
    "number": "1740566181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6315 SPAULDING DR STE B",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300924653",
            "telephone_number": "770-416-9995",
            "fax_number": "770-416-6777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6315 SPAULDING DR STE B",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300924653",
            "telephone_number": "770-416-9995",
            "fax_number": "770-416-6777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL MEDICINE OF NORCROSS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-31",
        "last_updated": "2011-10-31",
        "status": "A",
        "authorized_official_last_name": "LUNDRIGAN",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "770-416-9995"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "GA",
            "license": "063309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norcross, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2011; 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.