Roswell Pain Specialists

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

License

050322 Issued in GA

Legal business name

ROSWELL PAIN SPECIALISTS

Practice address

1300 Upper Hembree Rd Suite B1 Building 100
Roswell, GA 30076

Phone

(678) 736-7680

Fax

(888) 537-5362

NPI assigned

Jul 1, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Damon C Kimes Sr., MDNPI 1134282114

Title

Doctor/Director

Phone

(404) 759-9658

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Roswell Pain Surgical Center

  • Ambulatory Surgical Clinic/Center
  • Roswell, GA
  • NPI 1912388976
  NPPES parent name

Practitioners 3

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

• Damon C. Kimes, MD

  • Pain Medicine Physician
  • Roswell, GA
  • NPI 1134282114
  Medicare reassignment NPD Authorized official
• Eduardo Escorcia,, MD

  • Interventional Pain Medicine Physician
  • Dallas, GA
  • NPI 1730124413
  Medicare reassignment NPD
• Jeffrey Yoonsuk Lee, DO

  • Physical Medicine & Rehabilitation Physician
  • Ridgefield, WA
  • NPI 1316145675

  GA, Interventional Pain Medicine

  Medicare reassignment NPD

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

{
    "created_epoch": "1309478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565222400000",
    "number": "1831486430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 UPPER HEMBREE RD SUITE B1 BUILDING 100",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "30076",
            "telephone_number": "678-736-7680",
            "fax_number": "888-537-5362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 UPPER HEMBREE RD SUITE B1 BUILDING 100",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "30076",
            "telephone_number": "678-736-7680",
            "fax_number": "888-537-5362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSWELL PAIN SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-01",
        "last_updated": "2019-08-08",
        "status": "A",
        "authorized_official_last_name": "KIMES",
        "authorized_official_first_name": "DAMON",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DOCTOR/DIRECTOR",
        "authorized_official_telephone_number": "404-759-9658",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "GA",
            "license": "050322",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "GA",
            "license": "050322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roswell Family Dentistry PC
• Roswell Health & Injury Center, Inc.
• Roswell Home Care LLC
• Roswell Lakes Counseling and Consulting LLC
• Roswell Medical Group, LLC
• Roswell Pain Surgical Center
• Roswell Pediatric Dentistry PC
• Roswell Psychiatric Services, PC
• Roswell Radiology Associates
• Roswell Recovery Center LLC

• Pain Clinic/Center in Roswell, GA
• Providers in Roswell, GA by specialty
• Pain Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.