CENTER FOR SPINE INTERVENTIONS ASC 1 LLC – NPI #1801228481
Clinic/Center

CENTER FOR SPINE INTERVENTIONS ASC 1 LLC is an AHC clinic located in DOUGLASVILLE, GA. NPPES has assigned the NPI number 1801228481 to CENTER FOR SPINE INTERVENTIONS ASC 1 LLC on August 06, 2013. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was previously updated about 5 years ago on Jul 22, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CENTER FOR SPINE INTERVENTIONS ASC 1 LLC below.

NPI Profile for
CENTER FOR SPINE INTERVENTIONS ASC 1 LLC

NPI Number
1801228481
Enumeration Date

(about 13 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CENTER FOR SPINE INTERVENTIONS ASC 1 LLC
Primary location
4586 TIMBER RIDGE DR STE 141
DOUGLASVILLE, GA 30135-7517
Phone: (678) 813-2741 Fax: (770) 575-3912
Mailing address
2713 CHARLES HARDY PKWY STE 212
DALLAS, GA 30157-9445
Phone: (678) 813-2741 Fax: (770) 575-3912
Organization Subpart
No
Authorized Official
JANICE RAYA
OFFICE MANAGER
Phone: (678) 813-2741
Updated
Certification Date
Jul 22, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.