Organization Active NPI

North Atlanta Spine and Pain Care, LLC

  • Pain Medicine Physician
  • Marietta, GA
National Provider Identifier
1811272727
Registry record updated Dec 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
Legal business name
NORTH ATLANTA SPINE AND PAIN CARE, LLC
Practice address
1121 Johnson Ferry Rd Ste 400
Marietta, GA 30068-5420
Phone
(770) 951-8427
Fax
(770) 951-2157
NPI assigned
Oct 12, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2013

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

Authorized official

Name
Dr. Jonathan C Newton, M.D.
Title
Owner/M.D.
Phone
(770) 951-8427

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0000X Primary

Addresses

Primary practice location

1121 Johnson Ferry Rd Ste 400
Marietta, GA 30068-5420

Mailing address

1121 Johnson Ferry Rd Ste 400
Marietta, GA 30068-5420

Other identifiers 1

IdentifierTypeStateIssuer
357062779AMedicaidGA

National Provider Directory

National Provider Directory

Locations

1121 Johnson Ferry Rd
Ste 400
Marietta, GA 30068
Phone (404) 973-4344

NPI Registry JSON

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

{
    "created_epoch": "1318377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386633600000",
    "number": "1811272727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 JOHNSON FERRY RD STE 400",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300685420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 JOHNSON FERRY RD STE 400",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300685420",
            "telephone_number": "770-951-8427",
            "fax_number": "770-951-2157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH ATLANTA SPINE AND PAIN CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-12",
        "last_updated": "2013-12-10",
        "status": "A",
        "authorized_official_last_name": "NEWTON",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER/M.D.",
        "authorized_official_telephone_number": "770-951-8427",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "357062779A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2013; 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.