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PAIN PHYSICIANS OF ATLANTA LLC
NPI 1922592641
Pain Medicine - Interventional Pain Medicine in Alpharetta, GA

Active since June 16, 2018
3333 OLD MILTON PKWY STE 400, ALPHARETTA, GA 30005(770) 391-3979(770) 391-0020 Get Directions Write a Review

NPPES record last updated: June 16, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Pain Physicians Of Atlanta Llc NPPES

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

PAIN PHYSICIANS OF ATLANTA LLC (NPI 1922592641) is a healthcare organization registered as an interventional pain medicine in Alpharetta, Georgia and active in the NPI registry since June 2018. The organization lists Virginia Minicozzi, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1922592641
Entity TypeOrganization
Primary Taxonomy208VP0014X
Legal Business NamePAIN PHYSICIANS OF ATLANTA LLC
Location Address3333 OLD MILTON PKWY STE 400Alpharetta, GA 30005
Mailing Address3333 Old Milton Pkwy Ste 400Alpharetta, GA 30005-4437 · (770) 391-3979 · Fax (770) 391-0020
Phone(770) 391-3979
Fax(770) 391-0020
Organization SubpartNo
Authorized OfficialVirginia MinicozziPractice Manager · (770) 391-3979
Enumeration DateJune 16, 2018
✔ NPI 1922592641 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0014X
Definition
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.
3333 OLD MILTON PKWY STE 400, Alpharetta, GA 30005
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Other Identifiers 1

Medicaid208VP0014XGA

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pain Physicians Of Atlanta Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Pain Physicians Of Atlanta LLC, which bills Medicare for the services they deliver. Of these, 4 practice at this address. They are listed nearest first.

Clinicians, nearest first (5)

Ravi Dammanna, MD
Anesthesiology
NPI 1316052418
3333 OLD MILTON PKWY STE 400
Alpharetta, GA 30005
(770) 391-3979
✔ PECOS✔ Accepts MedicareSame address
Kenneth Joel, MD
Anesthesiology
NPI 1346236411
3333 OLD MILTON PKWY
Alpharetta, GA 30005
(770) 391-3979
✔ PECOS✔ Accepts MedicareSame address
Mohammad Wada, M.D.
Anesthesiology
NPI 1477785186
3333 OLD MILTON PKWY STE 400
Alpharetta, GA 30005
(770) 391-3979
✔ PECOS✔ Accepts MedicareSame address
Jonathan Nix, MSN, APRN, FNP-BC
Nurse Practitioner
NPI 1043189095
3333 OLD MILTON PKWY STE 400
Alpharetta, GA 30005
(770) 391-3979
✔ PECOSSame address
Mary Hall
Nurse Practitioner
NPI 1063042927
90 LA RUE PL NW
Atlanta, GA 30327
(912) 425-9737
✔ PECOS20 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 Pain Physicians Of Atlanta LLC's NPI number?

The NPI number for Pain Physicians Of Atlanta LLC is 1922592641. It was assigned to this organization in the NPPES registry on June 16, 2018.

Where is Pain Physicians Of Atlanta LLC located?

Pain Physicians Of Atlanta LLC is located at 3333 Old Milton Pkwy Ste 400, Alpharetta, GA 30005. The listed phone number is (770) 391-3979.

What is Pain Physicians Of Atlanta LLC's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

Is Pain Physicians Of Atlanta LLC enrolled in Medicare?

Yes. Pain Physicians Of Atlanta LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pain Physicians Of Atlanta LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Pain Physicians Of Atlanta LLC. 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. The largest specialties are Anesthesiology (3) and Nurse Practitioner (2). Of these, 4 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Pain Physicians Of Atlanta LLC was last updated on June 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.