ATLANTA SPINE, PC
NPI 1073979621
Orthopaedic Surgery in Conyers, GA

Active since January 12, 2016
1288 WELLBROOK CIR NE STE A, CONYERS, GA 30012(678) 369-6934 Get Directions Write a Review

NPPES record last updated: August 13, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 13, 2019, Sep 20, 2018, Jan 11, 2017 and 1 more (4 updates tracked since 2016).

About Atlanta Spine, Pc NPPES

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

ATLANTA SPINE, PC (NPI 1073979621) is a healthcare organization registered as an orthopaedic surgery in Conyers, Georgia and active in the NPI registry since January 2016. The organization maintains 4 additional practice locations and lists Kimberly Ford, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1073979621
Entity TypeOrganization
Primary Taxonomy207X00000X
Legal Business NameATLANTA SPINE, PC
Location Address1288 WELLBROOK CIR NE STE AConyers, GA 30012-8032
Mailing Address1288 Wellbrook Cir Ne Ste AConyers, GA 30012-8032 · (678) 369-6934
Organization SubpartNo
Authorized OfficialKimberly FordPractice Administrator · (678) 369-6934
Enumeration DateJanuary 12, 2016
Last NPPES UpdateAugust 13, 20194 updates tracked since enumeration
✔ NPI 1073979621 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Also ListedPain Medicine · Interventional Pain MedicineTaxonomy 208VP0014X
1288 WELLBROOK CIR NE STE A, Conyers, GA 30012

Secondary Practice Locations 4

Location 160 Peachtree Park Dr NE Ste 200Atlanta, GA 30309-1304 · Phone (678) 369-6934
Location 22675 N Decatur Rd Ste 401Decatur, GA 30033-6133 · Phone (678) 369-6934
Location 32061 Peachtree Rd NE Ste 250Atlanta, GA 30309-1440 · Phone (678) 369-6934
Location 42340 Patrick Henry PkwyMcDonough, GA 30253-4325 · Phone (678) 369-6934

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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Atlanta Spine, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Atlanta Spine, PC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Orthopedic Surgery
NPI 1073698999
1288 WELLBROOK CIR NE STE A
Conyers, GA 30012
(678) 369-6934
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1043932973
1288 WELLBROOK CIR NE STE A
Conyers, GA 30012
(678) 369-6934
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1386401594
1288 WELLBROOK CIR NE STE A
Conyers, GA 30012
(678) 369-6934
✔ PECOS✔ Accepts MedicareSame address
Orthopedic Surgery
NPI 1952507485
33 UPPER RIVERDALE RD SW STE 121
Riverdale, GA 30274
(404) 323-4096
✔ PECOS✔ Accepts Medicare23 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Atlanta Spine, PC's NPI number?

The NPI number for Atlanta Spine, PC is 1073979621. It was assigned to this organization in the NPPES registry on January 12, 2016.

Where is Atlanta Spine, PC located?

Atlanta Spine, PC is located at 1288 Wellbrook Cir NE Ste A, Conyers, GA 30012. The listed phone number is (678) 369-6934.

What is Atlanta Spine, PC's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Atlanta Spine, PC enrolled in Medicare?

Yes. Atlanta Spine, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Atlanta Spine, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Atlanta Spine, PC, in Nurse Practitioner and Orthopedic Surgery. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Atlanta Spine, PC accept?

Health plans from Alliant Health Plans, Inc., Baylor Scott and White Health Plan, Blue Cross Blue Shield of North Dakota, Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Oklahoma and 3 other insurers list Atlanta Spine, PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Atlanta Spine, PC was last updated on August 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.