NPIMap

Organization Active NPI

Premier Chronic Pain Care Inc.

  • Specialist
  • Atlanta, GA
National Provider Identifier
1972891448
Registry record updated Jan 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
PREMIER CHRONIC PAIN CARE INC.
Practice address
619 Boulevard NE
Atlanta, GA 30308-2701
Phone
(404) 523-0111
Fax
(888) 291-6290
NPI assigned
Jul 18, 2011
Last updated
Jan 28, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2014

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

Authorized official

Name
Dr. Rasean T HodgeNPI 1972543726
Title
Ceo
Phone
(404) 523-0111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X GA Primary

Addresses

Primary practice location

619 Boulevard NE
Atlanta, GA 30308-2701

Mailing address

619 Boulevard NE
Atlanta, GA 30308-2701
Phone (404) 523-0111

National Provider Directory

National Provider Directory

Locations

619 Boulevard NE
Atlanta, GA 30308
Phone (404) 523-0111

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1310947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390867200000",
    "number": "1972891448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 BOULEVARD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303082701",
            "telephone_number": "404-523-0111",
            "fax_number": "888-291-6290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 BOULEVARD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303082701",
            "telephone_number": "404-523-0111",
            "fax_number": "888-291-6290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER CHRONIC PAIN CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-18",
        "last_updated": "2014-01-28",
        "status": "A",
        "authorized_official_last_name": "HODGE",
        "authorized_official_first_name": "RASEAN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-523-0111",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "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 Jan 28, 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.