NPIMap

Individual provider Active NPI

Vincent Galan, MD

  • Pain Medicine Physician
  • Stockbridge, GA
National Provider Identifier
1831180983
Registry record updated Feb 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
28685 Issued in GA
Practice address
1365 Rock Quarry Rd Ste 202
Stockbridge, GA 30281-5023
Phone
(770) 771-6580
Fax
(770) 771-6589
NPI assigned
Oct 28, 2005
Last updated
Feb 1, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 28685 GA
Pain Medicine Physician 208VP0000X 28685 GA Primary

Addresses

Primary practice location

1365 Rock Quarry Rd Ste 202
Stockbridge, GA 30281-5023

Mailing address

1365 Rock Quarry Rd Ste 202
Stockbridge, GA 30281-5023
Phone (770) 771-6580

Other identifiers 2

IdentifierTypeStateIssuer
050030318OtherGARAILROAD MEDICARE
00371291BMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050815000264 GA Practitioner - Anesthesiology 0547290181 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pain Care LLCGroup PAC ID 0244395689, 8 clinicians

Practice addresses (Care Compare)

1365 Rock Quarry Rd
Suite 202
Stockbridge, GA 30281-5023
Phone (770) 960-2701

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
28685GAMDPain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pain Care LLC Anesthesiology CurrentSince Jan 1, 2009 Accepting new patients
Center for Pain and Spine, LLC PastSince Mar 15, 2014 Accepting new patients
Georgia Pain and Spine Solutions, PC Past Accepting new patients
Griffin Center for Pain and Spine PastSince Mar 1, 2017 Accepting new patients
Advanced Anesthesia Associates, PC Anesthesiology Past Accepting new patients
Johns Creek Center for Pain and Spine PastSince Mar 1, 2020 Accepting new patients

Locations

11 Upper Riverdale Rd SW
Riverdale, GA 30274
Phone (770) 897-7277

1365 Rock Quarry Rd
Ste 202
Stockbridge, GA 30281
Phone (770) 960-2701

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18187/brand/1/csg/1/fhir/r4
  • Direct secure messaging: vincent.galan.1@33818.direct.athenahealth.com

Organizations & group practices 8

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1130457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675209600000",
    "number": "1831180983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1365 ROCK QUARRY RD STE 202",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302815023",
            "telephone_number": "770-771-6580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1365 ROCK QUARRY RD STE 202",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302815023",
            "telephone_number": "770-771-6580",
            "fax_number": "770-771-6589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALAN",
        "first_name": "VINCENT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-28",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "GA",
            "license": "28685",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "GA",
            "license": "28685",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "050030318",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00371291B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockbridge, GA

Sources for this page

Verify at the official NPI Registry.