Atlanta Spine, PC
NPI 1073979621ActiveOrganization· Orthopaedic Surgery· Conyers, GA
Orthopaedic Surgery in Conyers, Georgia, registered in NPPES in January 2016. The authorized official on file is Kimberly Ford, Practice Administrator. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1073979621 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 12, 2016 |
| Last updated in NPPES | Aug 13, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Orthopaedic Surgery Primary | 207X00000X | — | — |
| Physical Medicine & Rehabilitation, Pain Medicine | 2081P2900X | — | — |
| Pain Medicine, Interventional Pain Medicine | 208VP0014X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (GA) |
|---|
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