Lawrenceville Center for Pain and Spine, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

LAWRENCEVILLE CENTER FOR PAIN AND SPINE, LLC

Practice address

755 Old Norcross Rd
Lawrenceville, GA 30046-4317

Phone

(770) 771-6580

Fax

(770) 771-6589

NPI assigned

Dec 13, 2022

Last updated

Jan 11, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Vincent Galan, MDNPI 1831180983

Title

Ceo

Phone

(770) 771-6580

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Listed as

Lawrenceville Center for Pain and Spine LLCCCN 11C0001567

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Pain Care LLC

  • Anesthesiology Physician
  • Stockbridge, GA
  • NPI 1265607626

  Member Of

  NPD member

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Vincent Galan, MD

  • Pain Medicine Physician
  • Stockbridge, GA
  • NPI 1831180983
  Authorized official Same address or phone

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

{
    "created_epoch": "1670889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673395200000",
    "number": "1871204511",
    "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",
            "fax_number": "770-771-6589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 OLD NORCROSS RD",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300464317",
            "telephone_number": "770-771-6580",
            "fax_number": "770-771-6589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCEVILLE CENTER FOR PAIN AND SPINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-13",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A",
        "authorized_official_last_name": "GALAN",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-771-6580",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lawrence B. Evans, DDS, Ms, PC
• Theresa A B Lawrence-Ford, M.D.
• Brian C Lawrence, PAAA
• Christopher Steven Lawrence, MT
• Toni Lawrence, PTA
• Lawrenceville Community Pharmacy, Inc
• Lawrenceville Dental Associates, PC
• Lawrenceville Dentist Office, PC (Lawrenceville Dentist Office)
• Lawrenceville Discount Pharmacy LLC (Lawrenceville Discount Pharmacy)
• Lawrenceville Eyecare LLC

• Ambulatory Surgical Clinic/Center in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Ambulatory Surgical Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2023; 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.