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ROSWELL PAIN SURGICAL CENTER
NPI 1912388976
Clinic/Center - Ambulatory Surgical in Roswell, GA

Active since June 16, 2015CLIA 11D2138891 · Waiver
1300 UPPER HEMBREE RD, SUITE B, ROSWELL, GA 30076(678) 736-7680(888) 537-5362 Get Directions Write a Review

NPPES record last updated: June 16, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Roswell Pain Surgical Center NPPES

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

ROSWELL PAIN SURGICAL CENTER (NPI 1912388976) is a healthcare organization registered as an ambulatory surgical in Roswell, Georgia and active in the NPI registry since June 2015. The organization holds a CLIA Waiver certificate valid through October 25, 2027 and lists Damon Christian Kimes, Owner, as its authorized official.

NPPES Registry Identity

NPI1912388976
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameROSWELL PAIN SURGICAL CENTER
Location Address1300 UPPER HEMBREE RD, SUITE BRoswell, GA 30076-0927
Mailing Address1300 Upper Hembree Rd, Suite BRoswell, GA 30076-0927 · (678) 736-7680
Phone(678) 736-7680
Fax(888) 537-5362
Organization SubpartYesParent: Roswell Pain Specialists
Authorized OfficialDamon Christian KimesOwner · (678) 736-7680
Enumeration DateJune 16, 2015
✔ NPI 1912388976 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
1300 UPPER HEMBREE RD, Roswell, GA 30076
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Mending Health.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 11D2138891

Roswell Pain Surgical Cener · Roswell, GA
Active · expires Oct 25, 2027
CLIA Number11D2138891
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateOctober 26, 2025
Certificate Expiration DateOctober 25, 2027
Laboratory DirectorDamon C. Kimes
Laboratory Phone(678) 736-7680
Laboratory LocationRoswell Pain Surgical Cener1300 Upper Hembre Road, Roswell, GA 30076
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

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

MS. SHELLEY MONIQUE DUNSON-ALLEN M.D.
Specialist
1300 UPPER HEMBREE RD, BUILDING 100, SUITE D
ROSWELL, GA 30076
Fulton County (770) 670-6170
DR. OSCAR JAMESON STOKES M.D., M.B.A.
General Practice
1300 UPPER HEMBREE RD, BUILDING 100, SUITE B
ROSWELL, GA 30076
Fulton County (770) 817-7951
INNOVATIVE AMBULATORY SURGERY CENTER
Clinic/Center (Pain)
1300 UPPER HEMBREE RD, BUILDING 100, SUITE B
ROSWELL, GA 30076
Fulton County (888) 232-8724
SABRINA D. HARRISON, M.D., P.C.
Obstetrics & Gynecology
1300 UPPER HEMBREE RD, BLDG 100, STE D
ROSWELL, GA 30076
Fulton County (404) 520-3330
NORTH FULTON RHEUMATOLOGY
Specialist
1300 UPPER HEMBREE RD, BLD# 100, SUITE #A
ROSWELL, GA 30076
Fulton County (770) 619-0004
INNOVATIVE PAIN MANAGEMENT CENTER LLC
Anesthesiology (Pain Medicine)
1300 UPPER HEMBREE RD, BUILDING 100, SUITE B
ROSWELL, GA 30076
Fulton County (770) 817-7951

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 Roswell Pain Surgical Center's NPI number?

The NPI number for Roswell Pain Surgical Center is 1912388976. It was assigned to this organization in the NPPES registry on June 16, 2015.

Where is Roswell Pain Surgical Center located?

Roswell Pain Surgical Center is located at 1300 Upper Hembree Rd Suite B, Roswell, GA 30076. The listed phone number is (678) 736-7680.

What is Roswell Pain Surgical Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Roswell Pain Surgical Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2138891) is associated with this NPI, valid through October 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Roswell Pain Surgical Center accept?

Health plans from Medica and Mending Health list Roswell Pain Surgical Center 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 Roswell Pain Surgical Center was last updated on June 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.