Advance Spinal Care of Georgia

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

621111 Issued in GA

Legal business name

ADVANCE SPINAL CARE OF GEORGIA

Practice address

11940 Alpharetta Hwy
Suite 110
Alpharetta, GA 30004-2003

Phone

(770) 475-8221

Fax

(770) 619-9606

NPI assigned

Dec 5, 2006

Last updated

Oct 26, 2007By 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. Brian Bonner, DC

Title

Manager

Phone

(770) 475-8221

Specialties & licenses 1

Addresses

Locations

Practitioners 4

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.

• Heman B Dodani, M.D.

  • Family Medicine Physician
  • Norcross, GA
  • NPI 1801831797
  NPD (past)
• Khalique U. Rehman, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Stockbridge, GA
  • NPI 1447296199
  NPD (past)
• David Michael Taillefer, D.C.

  • Chiropractor
  • Woodstock, GA
  • NPI 1134312838
  NPD (past)
• Samatha Tipirneni, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Davenport, FL
  • NPI 1598883076
  NPD (past)

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193356800000",
    "number": "1962560649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11940 ALPHARETTA HWY",
            "address_2": "SUITE 110",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300042003",
            "telephone_number": "770-475-8221",
            "fax_number": "770-619-9606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11940 ALPHARETTA HWY",
            "address_2": "SUITE 110",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300042003",
            "telephone_number": "770-475-8221",
            "fax_number": "770-619-9606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE SPINAL CARE OF GEORGIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2007-10-26",
        "status": "A",
        "authorized_official_last_name": "BONNER",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "770-475-8221",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "GA",
            "license": "621111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adler Physical Therapy & Rehabilitation, Dba Adler Physical Therapy
• Salpi Adrouny, MD
• Akua Aduboffour
• Advance Care Medical Georgia, Inc. (Advance Care Medical Alpharetta GA)
• Advance Care Medical PCP Georgia, Inc. (Advance Care Medical Alpharetta GA)
• Advanced Ambulatory Surgery Center, LLC
• Advanced Anesthesia Corporation
• Advanced Applied Kinesiology Center, Inc.
• Advanced Cosmetic and Family Dentistry, PC
• Advanced Endodontics Center

• Health Maintenance Organization in Alpharetta, GA
• Providers in Alpharetta, GA by specialty
• Health Maintenance Organization in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.