NPIMap

Organization Active NPI

Comprehensive Pain Management, PC

  • Interventional Pain Medicine Physician
  • Dallas, GA
National Provider Identifier
1871730085
Registry record updated Jan 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
COMPREHENSIVE PAIN MANAGEMENT, PC
Practice address
110 Evans Mill Drive
Ste 803
Dallas, GA 30157-1642
Phone
(770) 948-6824
Fax
(770) 948-6804
NPI assigned
Jan 9, 2009
Last updated
Jan 12, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2011

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

Authorized official

Name
Jaimini A Dave, MDNPI 1861504417
Title
President
Phone
(770) 948-6824

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X
Pain Medicine Physician 208VP0000X
Interventional Pain Medicine Physician 208VP0014X Primary

Addresses

Primary practice location

110 Evans Mill Drive
Ste 803
Dallas, GA 30157-1642

Mailing address

P.O. Box 629
Austell, GA 30168-1006
Phone (770) 948-6824

National Provider Directory

National Provider Directory

Locations

812 S Park St
Ste 5B
Carrollton, GA 30117

4799 Sugarloaf Pkwy
Bldg G110
Lawrenceville, GA 30044

809 W Bankhead Hwy
Ste C
Villa Rica, GA 30180

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1231459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294790400000",
    "number": "1871730085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 629",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301681006",
            "telephone_number": "770-948-6824",
            "fax_number": "770-948-6804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 EVANS MILL DRIVE",
            "address_2": "STE 803",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301571642",
            "telephone_number": "770-948-6824",
            "fax_number": "770-948-6804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE PAIN MANAGEMENT, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-09",
        "last_updated": "2011-01-12",
        "status": "A",
        "authorized_official_last_name": "DAVE",
        "authorized_official_first_name": "JAIMINI",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-948-6824",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2011; 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.