Active NPI
Apollo Spine and Pain Center
- Interventional Pain Medicine Physician
- Cumming, GA
National Provider Identifier
1891302998
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- Legal business name
- APOLLO SPINE AND PAIN CENTER
- Practice address
- 4415 Front Nine Dr
Cumming, GA 30041-6063 - Phone
- (614) 905-2700
- NPI assigned
- Sep 23, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ramya Nagarajan Rangaraj, MD
- Title
- Physician
- Phone
- (678) 771-8266
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Pain Medicine Physician | 208VP0014X | Primary |
Addresses
Primary practice location
4415 Front Nine Dr
Cumming, GA 30041-6063
Mailing address
4415 Front Nine Dr Ste 700
Cumming, GA 30041-6239
Phone (678) 771-8266
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | cloud | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
4415 Front Nine Dr
Cumming, GA 30041
Phone (614) 905-2700
4415 Front Nine Dr
Ste 600
Cumming, GA 30041
Phone (678) 456-8463
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Interventional Pain Medicine Physician
- Cumming, GA
- NPI 1184823650
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600819200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1638748800000",
"number": "1891302998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4415 FRONT NINE DR STE 700",
"city": "CUMMING",
"state": "GA",
"postal_code": "300416239",
"telephone_number": "678-771-8266",
"fax_number": "678-456-8814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4415 FRONT NINE DR",
"city": "CUMMING",
"state": "GA",
"postal_code": "300416063",
"telephone_number": "614-905-2700"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "APOLLO SPINE AND PAIN CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2020-09-23",
"last_updated": "2021-12-06",
"certification_date": "2021-12-06",
"status": "A",
"authorized_official_last_name": "RANGARAJ",
"authorized_official_first_name": "RAMYA",
"authorized_official_middle_name": "NAGARAJAN",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "678-771-8266",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208VP0014X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "cloud",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "4415 Front Nine Dr",
"city": "Cumming",
"state": "GA",
"country_code": "US",
"postal_code": "300416063",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Cumming, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.