LAWRENCEVILLE CENTER FOR PAIN AND SPINE, LLC – NPI #1871204511
Clinic/Center

LAWRENCEVILLE CENTER FOR PAIN AND SPINE, LLC is an AHC clinic located in LAWRENCEVILLE, GA. NPPES has assigned the NPI number 1871204511 to LAWRENCEVILLE CENTER FOR PAIN AND SPINE, LLC on December 13, 2022. 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 3 years ago on Jan 11, 2023. 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 LAWRENCEVILLE CENTER FOR PAIN AND SPINE, LLC below.

NPI Profile for
LAWRENCEVILLE CENTER FOR PAIN AND SPINE, LLC

NPI Number
1871204511
Enumeration Date

(more than 3 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
LAWRENCEVILLE CENTER FOR PAIN AND SPINE, LLC
Primary location
755 OLD NORCROSS RD
LAWRENCEVILLE, GA 30046-4317
Phone: (770) 771-6580 Fax: (770) 771-6589
Mailing address
1365 ROCK QUARRY RD STE 202
STOCKBRIDGE, GA 30281-5023
Phone: (770) 771-6580 Fax: (770) 771-6589
Organization Subpart
No
Authorized Official
VINCENT GALAN
CEO
Phone: (770) 771-6580
Updated
Certification Date
Jan 11, 2023

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.