North Georgia Spine and Interventional Orthopedics LLC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

058527 Issued in GA

Legal business name

NORTH GEORGIA SPINE AND INTERVENTIONAL ORTHOPEDICS LLC

Practice address

1897 Highway 211 NW Ste 105
Hoschton, GA 30548-3514

Phone

(706) 253-3341

Fax

(770) 307-0306

NPI assigned

Jun 29, 2010

Organization subpart

No

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

Authorized official

Name

Sallu Jabati

Title

Medical Director

Phone

(678) 559-4526

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1277769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277856000000",
    "number": "1851602429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1897 HIGHWAY 211 NW STE 105",
            "city": "HOSCHTON",
            "state": "GA",
            "postal_code": "305483514",
            "telephone_number": "706-253-3341",
            "fax_number": "770-307-0306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1897 HIGHWAY 211 NW STE 105",
            "city": "HOSCHTON",
            "state": "GA",
            "postal_code": "305483514",
            "telephone_number": "706-253-3341",
            "fax_number": "770-307-0306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH GEORGIA SPINE AND INTERVENTIONAL ORTHOPEDICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-29",
        "last_updated": "2010-06-30",
        "status": "A",
        "authorized_official_last_name": "JABATI",
        "authorized_official_first_name": "SALLU",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "678-559-4526"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "GA",
            "license": "058527",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "712681970B",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI INDIVIDUAL",
            "identifier": "1235104431",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicholas Najor, PT, DPT
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• Tiffany O'Donnell

• Interventional Pain Medicine Physician in Hoschton, GA
• Providers in Hoschton, GA by specialty
• Interventional Pain Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2010; 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.