Allspine Surgery Center-2 LLC

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

Legal business name

ALLSPINE SURGERY CENTER-2 LLC

Practice address

1944 Clairmont Rd
Decatur, GA 30033-3406

Phone

(770) 997-0600

NPI assigned

Nov 13, 2018

Organization subpart

No

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

Authorized official

Name

Farnaz Amiralaei

Title

Manager

Phone

(770) 997-0600

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Ambulatory surgical center certification: CCN 11C0001531

Legal name

ALLSPINE SURGERY CENTER-2, LLC

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Jun 5, 2020

Last certification

Jun 5, 2020

Ownership / control type

Proprietary

Facility address

1944 Clairmont Road
Decatur, GA 30033

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

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

• Shahram Rezaiamiri, M.D.

  • Neurological Surgery Physician
  • Stockbridge, GA
  • NPI 1225217920
  NPD

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

{
    "created_epoch": "1542067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542067200000",
    "number": "1740758358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1944 CLAIRMONT RD",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300333406",
            "telephone_number": "770-997-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1944 CLAIRMONT RD",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300333406",
            "telephone_number": "770-997-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLSPINE SURGERY CENTER-2 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-13",
        "last_updated": "2018-11-13",
        "status": "A",
        "authorized_official_last_name": "AMIRALAEI",
        "authorized_official_first_name": "FARNAZ",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "770-997-0600"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Neurological Surgery Physician in Decatur, GA
• Providers in Decatur, GA by specialty
• Neurological Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.