Active NPI
The Center for Spine Procedures, LLC
- Ambulatory Surgical Clinic/Center
- Marietta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- 00056535
- Legal business name
- THE CENTER FOR SPINE PROCEDURES, LLC
- Practice address
- 335 Roselane St NW
Marietta, GA 30060-6969 - Phone
- (770) 420-4645
- Fax
- (770) 234-5526
- NPI assigned
- Jan 15, 2007
- Last updated
- Sep 22, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Anthony Grasso, MD
- Title
- President
- Phone
- (770) 421-1420
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | 00056535 | GA | Primary |
Addresses
Primary practice location
335 Roselane St NW
Marietta, GA 30060-6969
Mailing address
335 Roselane St NW
Marietta, GA 30060-4001
Phone (770) 420-4645
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050111000000 | GA | Part B Supplier - Ambulatory Surgical Center | 9739137308 | Practice locations: Marietta, GA |
| O20230606000395 | GA | Part B Supplier - Ambulatory Surgical Center | 9739137308 | Practice locations: Conyers, GA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1780735175. Details of each certification follow.
Ambulatory surgical center certification: CCN 11C0001250
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- Center for Spine Procedures, LLC
- Certification status
- Active
- Provider type (POS)
- Ambulatory surgical center
- Participating since
- Dec 21, 2004
- Last certification
- Apr 30, 2019
- Ownership / control type
- Proprietary
- Facility address
- 335 Roselane Street, Suite 100
Marietta, GA 30060
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D1078640 | Center for Spine Procedures, LLC, the | Certificate of waiver | Jan 13, 2028 |
National Provider Directory
National Provider Directory- Tax ID family
- The Center for Spine Procedures
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Ambulatory Surgical Clinic/Center
- Conyers, GA
- NPI 1093586851
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
335 Roselane St NW
Ste 100
Marietta, GA 30060
Phone (770) 420-4646
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Marietta, GA
- NPI 1295710093
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Marietta, GA
- NPI 1609851773
-
- Interventional Pain Medicine Physician
- Vero Beach, FL
- NPI 1598950990
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168819200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790035200000",
"number": "1780735175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "335 ROSELANE ST NW",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300604001",
"telephone_number": "770-420-4645",
"fax_number": "770-234-5526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "335 ROSELANE ST NW",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300606969",
"telephone_number": "770-420-4645",
"fax_number": "770-234-5526"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE CENTER FOR SPINE PROCEDURES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-15",
"last_updated": "2026-09-22",
"certification_date": "2026-09-22",
"status": "A",
"authorized_official_last_name": "GRASSO",
"authorized_official_first_name": "ANTHONY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "770-421-1420",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "GA",
"license": "00056535",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2026; 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.