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SPINE AND ORTHOPEDICS OF ATLANTA, LLC
NPI 1265802318
Clinic/Center - Medical Specialty in Tucker, GA

Active since October 01, 2015
1462 MONTREAL RD STE 218, TUCKER, GA 30084(470) 294-0863(470) 294-0889 Get Directions Write a Review

NPPES record last updated: September 6, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 6, 2018, Oct 1, 2015 (2 updates tracked since 2015).

About Spine And Orthopedics Of Atlanta, Llc NPPES

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

SPINE AND ORTHOPEDICS OF ATLANTA, LLC (NPI 1265802318) is a healthcare organization registered as a medical specialty in Tucker, Georgia and active in the NPI registry since October 2015. The organization lists Damien Doute, Owner/physician, as its authorized official.

NPPES Registry Identity

NPI1265802318
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameSPINE AND ORTHOPEDICS OF ATLANTA, LLC
Location Address1462 MONTREAL RD STE 218Tucker, GA 30084
Mailing Address1462 Montreal Rd Ste 218Tucker, GA 30084-6931
Phone(470) 294-0863
Fax(470) 294-0889
Organization SubpartNo
Authorized OfficialDamien DouteOwner/physician · (470) 440-5848
Enumeration DateOctober 1, 2015
Last NPPES UpdateSeptember 6, 20182 updates tracked since enumeration
✔ NPI 1265802318 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
1462 MONTREAL RD STE 218, Tucker, GA 30084
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Other Identifiers 1

Medicaid728513163AGA

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 Spine And Orthopedics Of Atlanta, LLC's NPI number?

The NPI number for Spine And Orthopedics Of Atlanta, LLC is 1265802318. It was assigned to this organization in the NPPES registry on October 1, 2015.

Where is Spine And Orthopedics Of Atlanta, LLC located?

Spine And Orthopedics Of Atlanta, LLC is located at 1462 Montreal Rd Ste 218, Tucker, GA 30084. The listed phone number is (470) 294-0863.

What is Spine And Orthopedics Of Atlanta, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

When was this NPI record last updated?

The NPPES record for Spine And Orthopedics Of Atlanta, LLC was last updated on September 6, 2018. 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.