GEORGIA BRAIN AND SPINE LLC
NPI 1629519343
Specialist in Decatur, GA

Active since March 14, 2017
2107 N DECATUR RD, UNIT 448, DECATUR, GA 30033(404) 418-0192(844) 360-9946 Get Directions Write a Review

NPPES record last updated: March 14, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Georgia Brain And Spine Llc NPPES

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

GEORGIA BRAIN AND SPINE LLC (NPI 1629519343) is a healthcare organization registered as a specialist in Decatur, Georgia and active in the NPI registry since March 2017. The organization lists Amos O Dare, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1629519343
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameGEORGIA BRAIN AND SPINE LLC
Location Address2107 N DECATUR RD, UNIT 448Decatur, GA 30033-5305
Mailing Address2107 N Decatur Rd, Unit 448Decatur, GA 30033-5305 · (404) 418-0192 · Fax (844) 360-9946
Fax(844) 360-9946
Organization SubpartNo
Authorized OfficialAmos O DareMedical Director · (404) 418-0192
Enumeration DateMarch 14, 2017
NPI 1629519343 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in GA · 64353
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.

2107 N DECATUR RD, Decatur, GA 30033

Other Identifiers 1

Other64353GA · Medical License

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 5

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

Internal Medicine
2107 N DECATUR RD, SUITE 328
DECATUR, GA 30033
Psychiatry & Neurology (Psychiatry)
2107 N DECATUR RD, SUITE 351
DECATUR, GA 30033
Internal Medicine
2107 N DECATUR RD, SUITE 328
DECATUR, GA 30033
Nurse Practitioner
2107 N DECATUR RD, SUITE 120
DECATUR, GA 30033
Occupational Therapist
2107 N DECATUR RD, SUITE422
DECATUR, GA 30033

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 Georgia Brain And Spine LLC's NPI number?

The NPI number for Georgia Brain And Spine LLC is 1629519343. It was assigned to this organization in the NPPES registry on March 14, 2017.

Where is Georgia Brain And Spine LLC located?

Georgia Brain And Spine LLC is located at 2107 N Decatur Rd Unit 448, Decatur, GA 30033. The listed phone number is (404) 418-0192.

What is Georgia Brain And Spine LLC'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 Georgia Brain And Spine LLC was last updated on March 14, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.