ATLANTA INTERVENTIONAL PAIN MANAGEMENT, LLC – NPI #1679107338
Pain Medicine

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.

ATLANTA INTERVENTIONAL PAIN MANAGEMENT, LLC is a provider located in WOODSTOCK, GA. NPPES has assigned the NPI number 1679107338 to ATLANTA INTERVENTIONAL PAIN MANAGEMENT, LLC on March 02, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208VP0014X from the Health Care Provider Taxonomy code set, which is classified as Pain Medicine, specializing in Interventional Pain Medicine

The NPI profile was previously updated about 6 years ago on May 26, 2020. 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 ATLANTA INTERVENTIONAL PAIN MANAGEMENT, LLC below.

NPI Profile for
ATLANTA INTERVENTIONAL PAIN MANAGEMENT, LLC

NPI Number
1679107338
Enumeration Date

(more than 6 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
ATLANTA INTERVENTIONAL PAIN MANAGEMENT, LLC
Primary location
13190 HIGHWAY 92 STE 120
WOODSTOCK, GA 30188-4406
Phone: (770) 675-9134 Fax: (770) 926-9284
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
DIANA BODDEN
MANAGER
Phone: (404) 789-0985
Updated
Certification Date
May 26, 2020

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
208VP0014X
- Pain Medicine / Interventional Pain Medicine (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.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
Affiliation
N
Endpoint Location
13190 HIGHWAY 92 STE 120,
WOODSTOCK, GA 77025-1669