Organization Active NPI

Johns Creek Pain Relief & Wellness, LLC

  • General Practice Physician
  • Suwanee, GA
National Provider Identifier
1912315003
Registry record updated Aug 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
JOHNS CREEK PAIN RELIEF & WELLNESS, LLC
Practice address
5400 Laurel Springs Pkwy
Suite 801
Suwanee, GA 30024-6056
Phone
(770) 889-4800
Fax
(770) 889-4921
NPI assigned
Aug 1, 2014
Last updated
Aug 1, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2014

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

Authorized official

Name
Scott Warner, D.C.
Title
Manager
Phone
(770) 889-4800

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X GA
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X GA Primary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X

Addresses

Primary practice location

5400 Laurel Springs Pkwy
Suite 801
Suwanee, GA 30024-6056

Mailing address

5400 Laurel Springs Pkwy
Suite 801
Suwanee, GA 30024-6056
Phone (770) 889-4800

National Provider Directory

National Provider Directory

Locations

5400 Laurel Springs Pkwy
Ste 801
Suwanee, GA 30024
Phone (770) 889-4800

NPI Registry JSON

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

{
    "created_epoch": "1406851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406851200000",
    "number": "1912315003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 LAUREL SPRINGS PKWY",
            "address_2": "SUITE 801",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300246056",
            "telephone_number": "770-889-4800",
            "fax_number": "770-889-4921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 LAUREL SPRINGS PKWY",
            "address_2": "SUITE 801",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300246056",
            "telephone_number": "770-889-4800",
            "fax_number": "770-889-4921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNS CREEK PAIN RELIEF & WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-01",
        "last_updated": "2014-08-01",
        "status": "A",
        "authorized_official_last_name": "WARNER",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "770-889-4800",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "GA",
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suwanee, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2014; 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.