Atlantic Pain Center

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

License

57064 Issued in GA

Legal business name

ATLANTIC PAIN CENTER

Doing business as

Atl Pain Institute

Practice address

4535 Winters Chapel Rd
Suite B
Doraville, GA 30360-2705

Phone

(678) 580-1862

Fax

(678) 580-1648

NPI assigned

Sep 18, 2014

Last updated

Sep 18, 2014By 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. Matthew Michael Diduro, DCNPI 1376514638

Title

Manager

Phone

(678) 580-1862

Specialties & licenses 1

Addresses

Other names 1

• Atl Pain Institute Doing business as

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.

• Matthew Michael Diduro, D.C.

  • Chiropractor
  • Doraville, GA
  • NPI 1376514638
  Authorized official Same address or phone

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

{
    "created_epoch": "1410998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410998400000",
    "number": "1932501277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 680576",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300680010",
            "telephone_number": "678-580-1862",
            "fax_number": "678-580-1648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4535 WINTERS CHAPEL RD",
            "address_2": "SUITE B",
            "city": "DORAVILLE",
            "state": "GA",
            "postal_code": "303602705",
            "telephone_number": "678-580-1862",
            "fax_number": "678-580-1648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC PAIN CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-18",
        "last_updated": "2014-09-18",
        "status": "A",
        "authorized_official_last_name": "DIDURO",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "678-580-1862",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "GA",
            "license": "57064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Atl Pain Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Allswell Medical Supply, Inc.
• Megha Amin
• William Joshua Atkins, LPC
• Atlanta Hope Medical Group Inc
• Atlanta Yajima Chiropractic LLC
• Ikram Awad
• Arnasha Hudda Bakshi, MS, RD, LD
• Ariel Nicole Basden, M.S., CCC-SLP
• Bioconfirm Laboratories LLC
• Blossom Speech Therapy LLC

• Pain Medicine Physician in Doraville, GA
• Providers in Doraville, GA by specialty
• Pain Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.