Active NPI
David Wade Neckman
- Interventional Pain Medicine Physician
- Conyers, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- 079894
- Practice address
- 1388A Wellbrook Cir NE
Conyers, GA 30012-3872 - Phone
- (404) 920-4950
- NPI assigned
- Mar 19, 2013
- Last updated
- Apr 9, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 079894 | GA | |
| Pain Medicine Physician | 208VP0000X | 079894 | GA | |
| Interventional Pain Medicine Physician | 208VP0014X | 079894 | GA | Primary |
Addresses
Primary practice location
1388A Wellbrook Cir NE
Conyers, GA 30012-3872
Mailing address
3390 Peachtree Rd NE Ste 1500
Atlanta, GA 30326-2822
Phone (404) 920-4950
Other practice location 1
2061 Peachtree Rd NE Ste 200
Atlanta, GA 30309-1439
Phone (404) 920-4950
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pain Management
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Physiotherapy Associates Inc
Practice addresses (Care Compare)
1388 Wellbrook Necir a
Conyers, GA 30012-3872
Phone (770) 929-9033
9152 Hwy 278 NE
Covington, GA 30014-7010
Phone (678) 342-9339
Hospital & facility affiliations
- Piedmont Newton Hospital
- Piedmont Hospital, Inc
- Piedmont Rockdale Hospital
- Piedmont Athens Regional Medical Center
- Emory Decatur Hospital
- Wellstar Windy Hill Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.66 of 100
- Quality
- 74.46
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 71.9
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 079894 | GA | MD | Pain Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Interventional Spine and Pain Management Center PC | Pain Medicine | Current | Accepting new patients |
| The Interventional Spine and Pain Management Center, PC | Interventional Pain Medicine | Current | Accepting new patients |
| CPM Labs, LLC | Current | Accepting new patients | |
| Ispm ASC at Piedmont, LLC | Past | Accepting new patients |
Locations
2061 Peachtree Rd NE
Atlanta, GA 30309
Phone (404) 352-3522
2061 Peachtree Rd NE
Ste 200
Atlanta, GA 30309
Phone (404) 345-6056
2061 Peachtree Rd NE
Ste 225
Atlanta, GA 30309
Phone (404) 554-0633
3390 Peachtree Rd NE
Ste 1500
Atlanta, GA 30326
Phone 40492049502501
3885 Princeton Lakes Way SW
Ste 400
Atlanta, GA 30331
Phone (404) 344-6575
1367 Interstate Pkwy
Augusta, GA 30909
Phone (706) 863-3135
3870 Medical Park Dr
Ste 110
Austell, GA 30106
Phone (404) 920-4972
134 Riverstone Ter
Ste 101
Canton, GA 30114
812 S Park St
Ste 5A
Carrollton, GA 30117
Phone (770) 834-9050
15 Medical Dr NE
Ste 301
Cartersville, GA 30121
Phone (770) 590-1078
1388 Wellbrook Cir NE
Conyers, GA 30012
1388 Wellbrook Cir NE
#A
Conyers, GA 30012
Phone (770) 385-7985
1388A Wellbrook Cir NE
Conyers, GA 30012
5303 Adams St NE
Ste C
Covington, GA 30014
Phone (678) 729-8590
110 Evans Mill Dr
Dallas, GA 30157
Phone (770) 435-2555
3400 Chapel Hill Rd
Ste 101
Douglasville, GA 30135
620 J L White Dr
Ste 140
Jasper, GA 30143
Phone (706) 253-3500
4799 Sugarloaf Pkwy
Ste G100
Lawrenceville, GA 30044
1295 Hembree Rd
Ste A105
Roswell, GA 30076
6920 McGinnis Ferry Rd
Ste 360B
Suwanee, GA 30024
300 Parkbrooke Pl
Ste 390
Woodstock, GA 30189
Interoperability endpoints
- david.neckman@ispm.eclinicaldirectplus.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Alliance Spine and Pain Centers
- Interventional Pain Medicine Physician
- Conyers, GA
- NPI 1518012004
-
- Clinical Medical Laboratory
- Roswell, GA
- NPI 1689945800
-
dba Alliance Spine and Pain Centers
- Interventional Pain Medicine Physician
- Cumming, GA
- NPI 1447963608
-
- Ambulatory Surgical Clinic/Center
- Atlanta, GA
- NPI 1215275227
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Emory Decatur Hospital
- General Acute Care Hospital
- Decatur, GA
- NPI 1093716979
-
dba Wellstar Windy Hill Hospital
- Long Term Care Hospital
- Marietta, GA
- NPI 1700853041
Long-term care hospital
-
- General Acute Care Hospital
- Athens, GA
- NPI 1437186111
-
dba Newton Medical Center
- General Acute Care Hospital
- Covington, GA
- NPI 1760498588
-
- General Acute Care Hospital
- Conyers, GA
- NPI 1306355680
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617926400000",
"number": "1801138615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3390 PEACHTREE RD NE STE 1500",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303262822",
"telephone_number": "404-920-4950",
"fax_number": "404-920-4950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1388A WELLBROOK CIR NE",
"city": "CONYERS",
"state": "GA",
"postal_code": "300123872",
"telephone_number": "404-920-4950"
}
],
"practiceLocations": [
{
"address_1": "2061 Peachtree Rd NE Ste 200",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303091439",
"country_code": "US",
"telephone_number": "404-920-4950",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NECKMAN",
"first_name": "DAVID",
"middle_name": "WADE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-03-19",
"last_updated": "2021-04-09",
"certification_date": "2021-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "GA",
"license": "079894",
"primary": false
},
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "GA",
"license": "079894",
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "GA",
"license": "079894",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Conyers, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.