Georgia Spine Specialists
Specialist in Smyrna, GA. Organization (NPI-2).
NPI number1013206952
StatusActive
Last updated in NPPESMar 31, 2011
Details
- NPI
- 1013206952
- Entity type
- Organization (NPI-2)
- Legal business name
- Georgia Spine Specialists
- Organization subpart
- No
- Enumeration date
- Mar 31, 2011
- Last updated
- Mar 31, 2011
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | 52966 | GA | Yes |
Practice location
3903 S Cobb Dr SeSte 105
Smyrna, GA 30080-8504
Phone 678-838-6600 · Fax 770-438-1477
Mailing address
11 Maybelle StCartersville, GA 30120-3615
Phone 770-334-2065 · Fax 770-334-2066
Authorized official
Miguel A Jimenez
Ceo
7703743714
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