NPIMap

Organization Active NPI

Pain Management Specialists of Atlanta, PC

  • Interventional Pain Medicine Physician
  • Griffin, GA
National Provider Identifier
1780264911
Registry record updated Apr 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
PAIN MANAGEMENT SPECIALISTS OF ATLANTA, PC
Practice address
616A S 8TH St
Griffin, GA 30224-4214
Phone
(770) 233-8570
NPI assigned
Apr 12, 2021
Last updated
Apr 12, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
PAIN MANAGEMENT SPECIALIST OF ATLANTA PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 12, 2021

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

Authorized official

Name
Cindy Monk
Title
Asst Practice Admnistrator
Phone
(770) 506-1800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X Primary

Addresses

Primary practice location

616A S 8TH St
Griffin, GA 30224-4214

Mailing address

165 N Park TRL
Stockbridge, GA 30281-6500

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.pmsatlanta.com

National Provider Directory

National Provider Directory
Tax ID family
Pain Management Specialists2 organizations share this tax ID, including this one
Part of
Pain Management Specialists

Other organizations with this tax ID 1

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1618185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618185600000",
    "number": "1780264911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 N PARK TRL",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302816500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616A S 8TH ST",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302244214",
            "telephone_number": "770-233-8570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN MANAGEMENT SPECIALISTS OF ATLANTA, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PAIN MANAGEMENT SPECIALIST OF ATLANTA PC",
        "enumeration_date": "2021-04-12",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-12",
        "status": "A",
        "authorized_official_last_name": "MONK",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "ASST PRACTICE ADMNISTRATOR",
        "authorized_official_telephone_number": "770-506-1800"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.pmsatlanta.com",
            "affiliation": "N",
            "address_1": "616A S 8th St",
            "city": "Griffin",
            "state": "GA",
            "country_code": "US",
            "postal_code": "302244214",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Griffin, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2021; 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.