Provider Type Icon

SPECIALTY SPINE AND PAIN PC NPI 1154962165


NPI Information

NPI: 1154962165
Provider Name: SPECIALTY SPINE AND PAIN, PC
Classification: Pain Medicine - 208VP0014X
Entity Type: Organization

Specialization: Interventional Pain Medicine

CLIA Number: 11D2081094

Address:
2695 OLD WINDER HWY STE 150
BRASELTON, GA
ZIP 30517
Phone: (770) 534-7200
Get Directions

SPECIALTY SPINE AND PAIN, PC is an interventional pain medicine pain medicine in Braselton, GA. The provider is interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. SPECIALTY SPINE AND PAIN, PC NPI is 1154962165. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

2695 OLD WINDER HWY STE 150
BRASELTON, GA
ZIP 30517-076
Phone: (770) 534-7200

The provider's authorized official is Howard K Robinson .
The authorized official title is Medical Doctor and has the following contact phone number (770) 297-7277.

The CLIA number assigned to this NPI record is 11D2081094 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/1/2019 and was last updated on 10/1/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208VP0014XPain MedicineInterventional Pain MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.