Interventional Spine & Pain Management Center, PC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

INTERVENTIONAL SPINE & PAIN MANAGEMENT CENTER, PC

Practice address

620 J L White Dr
Suite 140
Jasper, GA 30143-4896

Phone

(770) 929-9033

Fax

(770) 929-9092

NPI assigned

May 12, 2016

Organization subpart

No

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

Authorized official

Name

Victoria Beck

Title

Cfo

Phone

(404) 920-4950

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1463011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463011200000",
    "number": "1972959609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3390 PEACHTREE RD NE",
            "address_2": "SUITE 1500",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303261157",
            "telephone_number": "404-920-4950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 J L WHITE DR",
            "address_2": "SUITE 140",
            "city": "JASPER",
            "state": "GA",
            "postal_code": "301434896",
            "telephone_number": "770-929-9033",
            "fax_number": "770-929-9092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERVENTIONAL SPINE & PAIN MANAGEMENT CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-12",
        "last_updated": "2016-05-12",
        "status": "A",
        "authorized_official_last_name": "BECK",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "404-920-4950"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Carol Hutcheson, PT
• Independent Physical Therapy of Georgia, LLC (Benchmark PT)
• Ingles Markets Inc (Ingles Pharmacy #437)
• Internal Medicine Associates of Jasper
• Internal Medicine Associates of Jasper, PC
• Interventional Spine and Pain Management Center, PC (Alliance Spine and Pain Centers)
• It's Cool to Care (It's Cool 2 Care)
• Lisa M Jackowiak, PT
• Jasper Dental Associates, P.C.
• Jasper Drug Co Inc (Jasper Drug Store)

• Interventional Pain Medicine Physician in Jasper, GA
• Providers in Jasper, GA by specialty
• Interventional Pain Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2016; 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.