Georgia Spine Specialists

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

GEORGIA SPINE SPECIALISTS

Practice address

11 Maybelle St
Cartersville, GA 30120-3615

Phone

(678) 838-6600

Fax

(678) 838-6602

NPI assigned

May 10, 2007

Organization subpart

No

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

Authorized official

Name

Miguel A Jimenez, M.D.

Title

President

Phone

(678) 838-6600

Specialties & licenses 2

Addresses

Other identifiers 3

Tax ID family

Georgia Spine Specialists3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Georgia Spine Specialists

  • Specialist
  • Smyrna, GA
  • NPI 1013206952
  NPD tax ID
• Georgia Spine Specialists

  • Orthopaedic Surgery Physician
  • Jasper, GA
  • NPI 1558528190
  NPD tax ID

Locations

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237939200000",
    "number": "1760696306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3903 S COBB DR SE",
            "address_2": "SUITE 110",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300806342",
            "telephone_number": "678-838-6600",
            "fax_number": "678-838-6602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 MAYBELLE ST",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301203615",
            "telephone_number": "678-838-6600",
            "fax_number": "678-838-6602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA SPINE SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2009-03-25",
        "status": "A",
        "authorized_official_last_name": "JIMENEZ",
        "authorized_official_first_name": "MIGUEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "678-838-6600",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "GA",
            "license": "052966",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "230782561A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "805775515A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "615972752A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Georgia Gastrointestinal and Liver Disease Associates PC
• Georgia Highlands Medical Services, Inc.
• Georgia Orthopedic Specialists, Inc.
• Georgia Pain Spine Center
• Georgia Pro Motion Physical Therapy Limited Partnership
• Georgia Urology PA
• Daryl Gessner
• Anastasia Arabella Getz
• Viola H Ghawi, PHARMD
• Sonam Ghimire

• Orthopaedic Surgery Physician in Cartersville, GA
• Providers in Cartersville, GA by specialty
• Orthopaedic Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2009; 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.