Organization Active NPI

Aspire Spine and Pain Center, LLC

  • Durable Medical Equipment & Medical Supplies
  • Snellville, GA
National Provider Identifier
1982575700
Registry record updated Sep 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ASPIRE SPINE AND PAIN CENTER, LLC
Practice address
1569 Janmar Rd Ste F
Snellville, GA 30078-5780
Phone
(470) 622-5143
Fax
(470) 622-5144
NPI assigned
Sep 15, 2025
Organization subpart
Yes
Parent organization
ASPIRE SPINE AND PAIN CENTER, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 15, 2025

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

Authorized official

Name
Mohamed Amin Koronfel, MDNPI 1619395928
Title
Owner
Phone
(281) 857-5948

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

1569 Janmar Rd Ste F
Snellville, GA 30078-5780

Mailing address

1569 Janmar Rd Ste F
Snellville, GA 30078-5780
Phone (470) 622-5143

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251212003703 GA DME Supplier - Physician - AnesthesiologyDME Supplier - Other 0143682120 Practice locations: Snellville, GA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Aspire Spine and Pain Center, LLC1569 Janmar Rd, Snellville, GA 30078-5780(470) 622-5143 Neuromuscular Elect Stimulators (NMES)/Supplies|(TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies|Canes and/or Crutches|Walkers|Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|External Electrical Stimulation Devices (Not Otherwise… Accepts assignmentParticipating since Jun 24, 2023

National Provider Directory

National Provider Directory
Tax ID family
Aspire Spine and Pain Center LLC2 organizations share this tax ID, including this one
Part of
Aspire Spine and Pain Center LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1569 Janmar Rd
Ste F
Snellville, GA 30078
Phone (470) 622-5143

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1757894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757894400000",
    "number": "1982575700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1569 JANMAR RD STE F",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300785780",
            "telephone_number": "470-622-5143",
            "fax_number": "470-622-5144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1569 JANMAR RD STE F",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300785780",
            "telephone_number": "470-622-5143",
            "fax_number": "470-622-5144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASPIRE SPINE AND PAIN CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ASPIRE SPINE AND PAIN CENTER, LLC",
        "enumeration_date": "2025-09-15",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A",
        "authorized_official_last_name": "KORONFEL",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_middle_name": "AMIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-857-5948",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Snellville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.