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THE PAIN MANAGEMENT CLINIC OF WOODSTOCK
NPI 1013161637
Specialist in Woodstock, GA

Active since November 10, 2008
200 PARKBROOKE DR, SUITE 200, WOODSTOCK, GA 30189(770) 591-8360(770) 591-8364 Get Directions Write a Review

NPPES record last updated: May 1, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About The Pain Management Clinic Of Woodstock NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THE PAIN MANAGEMENT CLINIC OF WOODSTOCK (NPI 1013161637) is a healthcare organization registered as a specialist in Woodstock, Georgia and active in the NPI registry since November 2008. The organization lists Myron Moorehead, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1013161637
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business Name360 MEDICAL MANAGEMENT
Location Address200 PARKBROOKE DR, SUITE 200Woodstock, GA 30189-6331
Mailing Address200 Parkbrooke Dr, Suite 100Woodstock, GA 30189-6331 · (770) 591-8360 · Fax (770) 591-8364
Phone(770) 591-8360
Fax(770) 591-8364
Organization SubpartNo
Authorized OfficialMyron MooreheadManaging Member · (770) 591-8360
Enumeration DateNovember 10, 2008
Last NPPES UpdateMay 1, 2009
✔ NPI 1013161637 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in GA · 058478
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
200 PARKBROOKE DR, Woodstock, GA 30189
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Other Names 1

Doing Business AsThe Pain Management Clinic Of Woodstock

Other Identifiers 1

Medicare PIN01BDHWHGA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

M.E.M. MEDICAL SERVICES, P.C.
Anesthesiology (Pain Medicine)
200 PARKBROOKE DR, SUITE 100
WOODSTOCK, GA 30189
Cherokee County (770) 218-9002
SERENA KUMAR MSN, ANP-BC
Nurse Practitioner (Adult Health)
200 PARKBROOKE DR, SUITE 100
WOODSTOCK, GA 30189
Cherokee County (678) 888-0332

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is 360 Medical Management's NPI number?

The NPI number for 360 Medical Management is 1013161637. It was assigned to this organization in the NPPES registry on November 10, 2008. The provider is doing business as The Pain Management Clinic Of Woodstock.

Where is 360 Medical Management located?

360 Medical Management is located at 200 Parkbrooke Dr Suite 200, Woodstock, GA 30189. The listed phone number is (770) 591-8360.

What is 360 Medical Management's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for 360 Medical Management was last updated on May 1, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.