NPIMap

Organization Active NPI

Pain Consultants of Atlanta LLC

  • Interventional Pain Medicine Physician
  • Atlanta, GA
National Provider Identifier
1942250865
Registry record updated Sep 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
PAIN CONSULTANTS OF ATLANTA LLC
Practice address
1800 Peachtree St NW Ste 750
Atlanta, GA 30309-2530
Phone
(404) 351-7654
Fax
(678) 904-5439
NPI assigned
May 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2020

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

Authorized official

Name
Alma Roman
Title
Manager of Operations/Credentialing
Phone
(404) 354-1525

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0014X Primary

Addresses

Primary practice location

1800 Peachtree St NW Ste 750
Atlanta, GA 30309-2530

Mailing address

1233 Highway 54 W Ste 207
Fayetteville, GA 30214-4542
Phone (404) 351-7654

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040303000429 GA Part B Supplier - Clinic/Group Practice 3274420385 Receives reassigned benefits from 7 practitioners
Practice locations: Atlanta, GA; Stockbridge, GA; Newnan, GA; Fayetteville, GA; Decatur, GA

National Provider Directory

National Provider Directory

Locations

2001 Peachtree Rd NE
Ste 210
Atlanta, GA 30309

1800 Peachtree St NW
Ste 75077
Atlanta, GA 30309

1267 Highway 54 W
Ste 4100
Fayetteville, GA 30214
Phone (770) 506-5470

1233 Highway 54 W
Ste 205
Fayetteville, GA 30214
Phone 4043517654160

1635 Highway 34 E
Newnan, GA 30265
Phone (707) 445-1234

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HEGACD

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600992000000",
    "number": "1942250865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1233 HIGHWAY 54 W STE 207",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302144542",
            "telephone_number": "404-351-7654",
            "fax_number": "404-609-7605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 PEACHTREE ST NW STE 750",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303092530",
            "telephone_number": "404-351-7654",
            "fax_number": "678-904-5439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN CONSULTANTS OF ATLANTA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2020-09-25",
        "certification_date": "2020-09-25",
        "status": "A",
        "authorized_official_last_name": "ROMAN",
        "authorized_official_first_name": "ALMA",
        "authorized_official_title_or_position": "MANAGER OF OPERATIONS/CREDENTIALING",
        "authorized_official_telephone_number": "404-354-1525"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2020; 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.