NPIMap

Organization Active NPI

Innovative Pain Management Center LLC

  • Pain Medicine (Anesthesiology) Physician
  • Roswell, GA
National Provider Identifier
1982948139
Registry record updated Jan 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
066905 Issued in GA
Legal business name
INNOVATIVE PAIN MANAGEMENT CENTER LLC
Practice address
1300 Upper Hembree Rd
Building 100, Suite B
Roswell, GA 30076-0927
Phone
(770) 817-7951
Fax
(770) 817-7975
NPI assigned
Nov 11, 2012
Last updated
Jan 15, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2014

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

Authorized official

Name
Dr. Oscar Jameson Stokes, M.D.NPI 1285805713
Title
Chief Executive Officer
Phone
(323) 316-8090

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
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207LP2900X 066905 GA Primary

Addresses

Primary practice location

1300 Upper Hembree Rd
Building 100, Suite B
Roswell, GA 30076-0927

Mailing address

1300 Upper Hembree Rd
Building 100, Suite B
Roswell, GA 30076-0927
Phone (770) 817-7951

National Provider Directory

National Provider Directory

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": "1352592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389744000000",
    "number": "1982948139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 UPPER HEMBREE RD",
            "address_2": "BUILDING 100, SUITE B",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300760927",
            "telephone_number": "770-817-7951",
            "fax_number": "770-817-7975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 UPPER HEMBREE RD",
            "address_2": "BUILDING 100, SUITE B",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300760927",
            "telephone_number": "770-817-7951",
            "fax_number": "770-817-7975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE PAIN MANAGEMENT CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-11",
        "last_updated": "2014-01-15",
        "status": "A",
        "authorized_official_last_name": "STOKES",
        "authorized_official_first_name": "OSCAR",
        "authorized_official_middle_name": "JAMESON",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "323-316-8090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "GA",
            "license": "066905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.