Greater Atlanta Pain and Spine

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

GREATER ATLANTA PAIN AND SPINE

Practice address

3840 Peachtree Industrial Blvd Ste 225
Duluth, GA 30096-5031

Phone

(678) 730-9202

Fax

(855) 592-2998

NPI assigned

Sep 14, 2023

Last updated

Jan 26, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Galal Y Gargodhi, M.DNPI 1245594985

Title

Founder/Ceo

Phone

(678) 730-9202

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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.

• Galal Y. Gargodhi, MD

  • Pain Medicine Physician
  • Duluth, GA
  • NPI 1245594985
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1694649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706227200000",
    "number": "1922885755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3840 PEACHTREE INDUSTRIAL BLVD STE 225",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300965031",
            "telephone_number": "678-730-9202",
            "fax_number": "885-592-2998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3840 PEACHTREE INDUSTRIAL BLVD STE 225",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300965031",
            "telephone_number": "678-730-9202",
            "fax_number": "855-592-2998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER ATLANTA PAIN AND SPINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-14",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-26",
        "status": "A",
        "authorized_official_last_name": "GARGODHI",
        "authorized_official_first_name": "GALAL",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "FOUNDER/CEO",
        "authorized_official_telephone_number": "678-730-9202",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1245594985",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yolanda Gray-Rozier
• Brandon E. Gray, M.D.
• Evan Michael Gray
• Leslie C Gray, M.D.
• Zakiyia Gray
• Greater Atlanta Speech & Language Clinics, Inc.
• Ptoshia Greaves
• Rose Marie Green, DDS
• Bria Rozet Greene, M.H.A, BCBA
• Greenhouse Counseling, LLC

• Interventional Pain Medicine Physician in Duluth, GA
• Providers in Duluth, GA by specialty
• Interventional Pain Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.