Organization Active NPI

NR Medical Center, LLC

  • Pain Clinic/Center
  • Jonesboro, GA
National Provider Identifier
1790031664
Registry record updated Jul 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
License
61081 Issued in GA
Legal business name
NR MEDICAL CENTER, LLC
Practice address
213 Arrowhead Blvd
Suite D
Jonesboro, GA 30236-1168
Phone
(770) 703-8074
NPI assigned
Jul 30, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2012

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

Authorized official

Name
El Shafey Ashour
Title
Owner
Phone
(727) 744-2168

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Clinic/Center 261QP3300X 61081 GA Primary

Addresses

Primary practice location

213 Arrowhead Blvd
Suite D
Jonesboro, GA 30236-1168

Mailing address

213 Arrowhead Blvd
Suite D
Jonesboro, GA 30236-1168
Phone (770) 703-8074

National Provider Directory

National Provider Directory

Locations

213 Arrowhead Blvd
Ste D
Jonesboro, GA 30236
Phone (404) 475-0816

NPI Registry JSON

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

{
    "created_epoch": "1343606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343606400000",
    "number": "1790031664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 ARROWHEAD BLVD",
            "address_2": "SUITE D",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302361168",
            "telephone_number": "770-703-8074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 ARROWHEAD BLVD",
            "address_2": "SUITE D",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302361168",
            "telephone_number": "770-703-8074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NR MEDICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-30",
        "last_updated": "2012-07-30",
        "status": "A",
        "authorized_official_last_name": "ASHOUR",
        "authorized_official_first_name": "EL SHAFEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-744-2168"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "GA",
            "license": "61081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2012; 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.