Georgia Pain Management Group LLC

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

GEORGIA PAIN MANAGEMENT GROUP LLC

Practice address

1475 Terrell Mill Rd SE
Ste 108
Marietta, GA 30067-6049

Phone

(770) 672-6918

NPI assigned

Jan 26, 2016

Organization subpart

No

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

Authorized official

Name

Stacy Spagnardi

Title

Manager

Phone

(770) 672-6918

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1453766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453766400000",
    "number": "1992162697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1475 TERRELL MILL RD SE",
            "address_2": "STE 108",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300676049",
            "telephone_number": "770-672-6918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1475 TERRELL MILL RD SE",
            "address_2": "STE 108",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300676049",
            "telephone_number": "770-672-6918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA PAIN MANAGEMENT GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-26",
        "last_updated": "2016-01-26",
        "status": "A",
        "authorized_official_last_name": "SPAGNARDI",
        "authorized_official_first_name": "STACY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "770-672-6918"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Georgia Psychological Consultants
• Georgia Psychological Treatment Center LLC

• Public Health or Welfare Agency in Marietta, GA
• Providers in Marietta, GA by specialty
• Public Health or Welfare Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 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.