Organization Active NPI

Healthmed Interventional Pain Management

  • Pain Medicine Physician
  • Doraville, GA
National Provider Identifier
1811454820
Registry record updated Feb 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
Legal business name
HEALTHMED INTERVENTIONAL PAIN MANAGEMENT
Practice address
4535 Winters Chapel Rd Ste B
Doraville, GA 30360-2705
Phone
(404) 401-8521
Fax
(561) 790-8553
NPI assigned
Feb 26, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2019

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

Authorized official

Name
Fitzclarence Harper, MD
Title
Owner
Phone
(561) 228-1945

Specialties & licenses 1

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

Addresses

Primary practice location

4535 Winters Chapel Rd Ste B
Doraville, GA 30360-2705

Mailing address

4535 Winters Chapel Rd Ste B
Doraville, GA 30360-2705
Phone (404) 401-8521

National Provider Directory

National Provider Directory

Locations

4535 Winters Chapel Rd
#B
Doraville, GA 30360
Phone (678) 580-1862

NPI Registry JSON

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

{
    "created_epoch": "1551139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551139200000",
    "number": "1811454820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4535 WINTERS CHAPEL RD STE B",
            "city": "DORAVILLE",
            "state": "GA",
            "postal_code": "303602705",
            "telephone_number": "404-401-8521",
            "fax_number": "561-790-8553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4535 WINTERS CHAPEL RD STE B",
            "city": "DORAVILLE",
            "state": "GA",
            "postal_code": "303602705",
            "telephone_number": "404-401-8521",
            "fax_number": "561-790-8553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHMED INTERVENTIONAL PAIN MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-26",
        "last_updated": "2019-02-26",
        "status": "A",
        "authorized_official_last_name": "HARPER",
        "authorized_official_first_name": "FITZCLARENCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-228-1945",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doraville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2019; 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.