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

Active since January 12, 2016CLIA 11D2143814 · Waiver
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: August 16, 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 holds a CLIA Waiver certificate valid through February 5, 2028, 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 12675 N Decatur Rd Ste 401Decatur, GA 30033-6133 · Phone (678) 369-6934
Location 260 Peachtree Park Dr NE Ste 200Atlanta, GA 30309-1304 · 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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D2143814

Atlanta Spine Surgery Center, LLC · Atlanta, GA
Active · expires Feb 5, 2028
CLIA Number11D2143814
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateFebruary 6, 2026
Certificate Expiration DateFebruary 5, 2028
Laboratory DirectorHarvinder S. Bhatti
Laboratory Phone(678) 369-6934
Laboratory LocationAtlanta Spine Surgery Center, LLC60 Peachtree Park Drive, NE, Atlanta, GA 30309
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

Nurse Practitioner (Family)
1288 WELLBROOK CIR NE STE A
CONYERS, GA 30012
Orthopaedic Surgery
1288 WELLBROOK CIR NE STE A
CONYERS, GA 30012
Durable Medical Equipment & Medical Supplies
1288 WELLBROOK CIR NE STE A
CONYERS, GA 30012
Nurse Practitioner (Family)
1288 WELLBROOK CIR NE STE A
CONYERS, GA 30012
Nurse Practitioner (Family)
1288 WELLBROOK CIR NE STE A
CONYERS, GA 30012

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.

Does Atlanta Spine, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2143814) is associated with this NPI, valid through February 5, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Atlanta Spine, PC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 11 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.