MEDICI MEDICAL ARTS NPI 1366842494

NPI Information

  • NPI: 1366842494
  • Provider Name: MEDICI MEDICAL ARTS
  • Classification: Physical Medicine & Rehabilitation - 2081P2900X
  • Specialization: Pain Medicine
  • Entity Type: Organization
  • CLIA Number: 11D2142870
  • Address: 2911 GEORGE BUSBEE PKWY NW
    SUITE 50
    KENNESAW, GA
    ZIP 30144
  • Phone: (844) 328-4624

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NPI Details

MEDICI MEDICAL ARTS is a pain medicine physical medicine rehabilitation in Kennesaw, GA. The provider is a physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. MEDICI MEDICAL ARTS NPI is 1366842494. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2911 GEORGE BUSBEE PKWY NW
SUITE 50
KENNESAW, GA
ZIP 30144-908
Phone: (844) 328-4624
Fax: (770) 882-2576

The provider's authorized official is Sonny S Dosanjh .
The authorized official title is Chief Medical Officer and has the following contact phone number (844) 328-4624.

The CLIA number assigned to this NPI record is 11D2142870 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/26/2014 and was last updated on 9/28/2015.

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 Medicine349GEORGIANo
22081P2900XPhysical Medicine & RehabilitationPain Medicine66686GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11366842494OTHERGEORGIAGROUP NPI
2003161420AMEDICAIDGEORGIA
3202G701420MEDICARE PINGEORGIA
47383350001MEDICARE NSCGEORGIA

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: 11/21/2025

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