Verispine Joint Centers PC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

VERISPINE JOINT CENTERS PC

Practice address

1506 Rock Quarry Rd
Stockbridge, GA 30281-5047

Phone

(678) 782-7999

Fax

(404) 334-7274

NPI assigned

Nov 22, 2022

Organization subpart

No

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

Authorized official

Name

Tye McClellan

Title

Billing/Credentialing Coordinator

Phone

(678) 786-7181

Specialties & licenses 3

Addresses

Other names 1

• Verispine Pain Centers Other name

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 15

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.

• Fitzclarence N Harper, MD

  • Pain Medicine Physician
  • Stockbridge, GA
  • NPI 1962433508
  Medicare reassignment NPD
• Julie Elizabeth Abrahamson, PA-C

  • Physician Assistant
  • Doraville, GA
  • NPI 1134395866
  NPD (past)
• Mojahed Ahmed Al-Ganim, PT, DPT

  • Physical Therapist
  • Lawrenceville, GA
  • NPI 1639727688
  NPD (past)
• Chidinma Anuliekette, AGACNP

  • Acute Care Nurse Practitioner
  • Grayson, GA
  • NPI 1144799305

  Single Specialty

  NPD (past)
• Rachael Lynn Braaten

  • Family Nurse Practitioner
  • Smyrna, GA
  • NPI 1265840748
  NPD (past)
• Kara Fur, MSN, APRN, FNP-BC

  • Family Nurse Practitioner
  • Atlanta, GA
  • NPI 1275802365
  NPD (past)
• Nicole Ann Harper

  • Land Ambulance
  • Decatur, GA
  • NPI 1730747064
  NPD (past)
• Omar Ibreak

  • Physical Therapist
  • Brookhaven, GA
  • NPI 1639715931
  NPD (past)
• Victoria Oluyemi O'Babatunde, NP

  • Family Nurse Practitioner
  • Atlanta, GA
  • NPI 1881224657
  NPD (past)
• Cindy Denise Oden

  • Family Nurse Practitioner
  • Norcross, GA
  • NPI 1124597646
  NPD (past)
• Miriam Smith, NP

  • Family Nurse Practitioner
  • Atlanta, GA
  • NPI 1215424957
  NPD (past)
• Adaky Chidundo Taylor, PA-C

  • Physician Assistant
  • Lawrenceville, GA
  • NPI 1568903722
  NPD (past)

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

{
    "created_epoch": "1669075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761868800000",
    "number": "1982313532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1506 ROCK QUARRY RD",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302815047",
            "telephone_number": "678-782-7999",
            "fax_number": "404-334-7274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1506 ROCK QUARRY RD",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302815047",
            "telephone_number": "678-782-7999",
            "fax_number": "404-334-7274"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4319 Covington Hwy Ste 102",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "GA",
            "postal_code": "300351206",
            "country_code": "US",
            "telephone_number": "678-782-7999",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2296 Henderson Mill Rd NE Ste 109",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303452739",
            "country_code": "US",
            "telephone_number": "678-782-7999",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1001 Virginia Ave Ste 208",
            "address_purpose": "LOCATION",
            "city": "Hapeville",
            "state": "GA",
            "postal_code": "303541328",
            "country_code": "US",
            "telephone_number": "678-782-7999",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1600 Macy Dr",
            "address_purpose": "LOCATION",
            "city": "Roswell",
            "state": "GA",
            "postal_code": "300766349",
            "country_code": "US",
            "telephone_number": "678-782-7999",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2525 2nd St Ste 2",
            "address_purpose": "LOCATION",
            "city": "Macon",
            "state": "GA",
            "postal_code": "312062223",
            "country_code": "US",
            "telephone_number": "678-728-7999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VERISPINE JOINT CENTERS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-22",
        "last_updated": "2025-10-31",
        "certification_date": "2025-10-31",
        "status": "A",
        "authorized_official_last_name": "MCCLELLAN",
        "authorized_official_first_name": "TYE",
        "authorized_official_title_or_position": "BILLING/CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "678-786-7181"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Verispine Pain Centers",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Verispine Pain Centers",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Graciela Armanda Vega, NP
• Lisa Leita Velez, CMHC STUDENT
• John C Vencill, O.D.
• Allan Joseph Venegas, DC
• Venture Healthcare (Venture Physical Therapy Stockbridge)
• Vessel Physical Therapy LLC
• Vibert Psychiatric Solutions, LLC
• Iesha Dominique Vibert, PMHNP-BC
• Heather Victorine
• Daniel Roberts Vieira

• Interventional Pain Medicine Physician in Stockbridge, GA
• Providers in Stockbridge, 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 Oct 31, 2025; 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.