Roswell Pain Surgical Center

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

ROSWELL PAIN SURGICAL CENTER

Practice address

1300 Upper Hembree Rd
Suite B
Roswell, GA 30076-0927

Phone

(678) 736-7680

Fax

(888) 537-5362

NPI assigned

Jun 16, 2015

Organization subpart

Yes

Parent organization

ROSWELL PAIN SPECIALISTSAs reported in NPPES

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

Authorized official

Name

Dr. Damon Christian Kimes Sr., MDNPI 1134282114

Title

Owner

Phone

(678) 736-7680

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Part of

Roswell Pain Specialists

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Roswell Pain Specialists

  • Pain Clinic/Center
  • Roswell, GA
  • NPI 1831486430
  NPPES parent name

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.

• Damon C. Kimes, MD

  • Pain Medicine Physician
  • Roswell, GA
  • NPI 1134282114
  NPD (past) Authorized official

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

{
    "created_epoch": "1434412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434412800000",
    "number": "1912388976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 UPPER HEMBREE RD",
            "address_2": "SUITE B",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300760927",
            "telephone_number": "678-736-7680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 UPPER HEMBREE RD",
            "address_2": "SUITE B",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300760927",
            "telephone_number": "678-736-7680",
            "fax_number": "888-537-5362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSWELL PAIN SURGICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ROSWELL PAIN SPECIALISTS",
        "enumeration_date": "2015-06-16",
        "last_updated": "2015-06-16",
        "status": "A",
        "authorized_official_last_name": "KIMES",
        "authorized_official_first_name": "DAMON",
        "authorized_official_middle_name": "CHRISTIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-736-7680",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roswell Health & Injury Center, Inc.
• Roswell Home Care LLC
• Roswell Lakes Counseling and Consulting LLC
• Roswell Medical Group, LLC
• Roswell Pain Specialists
• Roswell Pediatric Dentistry PC
• Roswell Psychiatric Services, PC
• Roswell Radiology Associates
• Roswell Recovery Center LLC
• Roswell Speech Therapy, LLC

• Ambulatory Surgical Clinic/Center in Roswell, GA
• Providers in Roswell, 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 Jun 16, 2015; 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.

Verify at the official NPI Registry.