Active NPI
NR Medical Center, LLC
- Pain Clinic/Center
- Jonesboro, GA
National Provider Identifier
1790031664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Clinic/Center
- License
- 61081
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.