Peachtree Spine & Pain Physicians ASC, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

060-305 Issued in GA

Legal business name

PEACHTREE SPINE & PAIN PHYSICIANS ASC, LLC

Doing business as

Optimum Surgery Center

Practice address

5555 Peachtree Dunwoody Rd NE
Suite G-99
Atlanta, GA 30342-1703

Phone

(404) 843-3323

Fax

(404) 795-0780

NPI assigned

Dec 9, 2005

Organization subpart

No

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

Authorized official

Name

Christine Mark Auyeung

Title

Billing Administrator

Phone

(404) 835-1493

Specialties & licenses 1

Addresses

Other names 1

• Optimum Surgery Center Doing business as

Locations

Practitioners 1

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

• Jeffrey S Grossman, M.D.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Atlanta, GA
  • NPI 1104823145
  NPD (past)

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

{
    "created_epoch": "1134086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193702400000",
    "number": "1942285168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5555 PEACHTREE DUNWOODY RD NE",
            "address_2": "SUITE G-99",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421703",
            "telephone_number": "404-835-1493",
            "fax_number": "678-904-8345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 PEACHTREE DUNWOODY RD NE",
            "address_2": "SUITE G-99",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421703",
            "telephone_number": "404-843-3323",
            "fax_number": "404-795-0780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACHTREE SPINE & PAIN PHYSICIANS ASC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-09",
        "last_updated": "2007-10-30",
        "status": "A",
        "authorized_official_last_name": "AUYEUNG",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "BILLING ADMINISTRATOR",
        "authorized_official_telephone_number": "404-835-1493"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "GA",
            "license": "060-305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Optimum Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Peachtree Recovery Centers, LLC
• Peachtree Rehab
• Peachtree Seniors Inc
• Peachtree Smiles II PC (peachtree Smiles)
• Peachtree Spine & Pain Physicians
• Peachtree Spine & Pain Physicians, Inc (Peachtree Spine Physicians, Inc)
• Peachtree Spine Center
• Peachtree Surgical & Bariatrics
• Peachtree Surgical Specialists P.C.
• Peachtree Urology, PC

• Ambulatory Surgical Clinic/Center in Atlanta, GA
• Providers in Atlanta, 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 Oct 30, 2007; 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.