Organization Active NPI

Amarish Kapasi PC

  • Interventional Pain Medicine Physician
  • Snellville, GA
National Provider Identifier
1790875086
Registry record updated Jun 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
054759 Issued in GA
Legal business name
AMARISH KAPASI PC
Practice address
2542 Twilight VW
Snellville, GA 30078-7722
Phone
(770) 667-1077
Fax
(770) 667-9026
NPI assigned
Oct 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2008

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

Authorized official

Name
Joi Farlough
Title
Manager
Phone
(770) 667-1077

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0014X 054759 GA Primary

Addresses

Primary practice location

2542 Twilight VW
Snellville, GA 30078-7722

Mailing address

2542 Twilight VW
Snellville, GA 30078-7722
Phone (770) 667-1077

Other identifiers 1

IdentifierTypeStateIssuer
211977445IMedicaidGA

National Provider Directory

National Provider Directory

Locations

1455 Montreal Rd
Ste 200
Tucker, GA 30084
Phone (770) 667-1077

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212624000000",
    "number": "1790875086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2542 TWILIGHT VW",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300787722",
            "telephone_number": "770-667-1077",
            "fax_number": "770-667-9026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2542 TWILIGHT VW",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300787722",
            "telephone_number": "770-667-1077",
            "fax_number": "770-667-9026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMARISH KAPASI PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-15",
        "last_updated": "2008-06-05",
        "status": "A",
        "authorized_official_last_name": "FARLOUGH",
        "authorized_official_first_name": "JOI",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "770-667-1077"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "GA",
            "license": "054759",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "211977445I",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Snellville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2008; 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.