NPIMap

Organization Active NPI

Woodstock Pain Solutions, PC

  • Pain Clinic/Center
  • Woodstock, GA
National Provider Identifier
1891936282
Registry record updated Mar 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
License
053994 Issued in GA
Legal business name
WOODSTOCK PAIN SOLUTIONS, PC
Practice address
7914 Highway 92
Suite 130
Woodstock, GA 30189-5238
Phone
(770) 924-8438
Fax
(770) 924-8431
NPI assigned
Mar 13, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2009

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

Authorized official

Name
Dr. Larry T Mabine, M.D.
Title
Ceo
Phone
(770) 924-8438

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Clinic/Center 261QP3300X 053994 GA Primary

Addresses

Primary practice location

7914 Highway 92
Suite 130
Woodstock, GA 30189-5238

Mailing address

7914 Highway 92
Suite 130
Woodstock, GA 30189-5238
Phone (770) 924-8438

National Provider Directory

National Provider Directory

Locations

7914 Highway 92
Ste 130
Woodstock, GA 30189
Phone (770) 924-8438

NPI Registry JSON

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

{
    "created_epoch": "1236902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236902400000",
    "number": "1891936282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7914 HIGHWAY 92",
            "address_2": "SUITE 130",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301895238",
            "telephone_number": "770-924-8438",
            "fax_number": "770-924-8431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7914 HIGHWAY 92",
            "address_2": "SUITE 130",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301895238",
            "telephone_number": "770-924-8438",
            "fax_number": "770-924-8431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODSTOCK PAIN SOLUTIONS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-13",
        "last_updated": "2009-03-13",
        "status": "A",
        "authorized_official_last_name": "MABINE",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-924-8438",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "GA",
            "license": "053994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2009; 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.