| Spinal Medical Centers | |
|
557 Riverstone Pkwy Suite 140 Canton GA 30114-5223 | |
| (770) 345-2000 | |
| (770) 345-4524 |
| Full Name | Spinal Medical Centers |
|---|---|
| Speciality | Family Medicine |
| Location | 557 Riverstone Pkwy, Canton, Georgia |
| Authorized Official Name and Position | Eric a Cavaciuti (OWNER) |
| Authorized Official Contact | 7703452000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Spinal Medical Centers 557 Riverstone Pkwy Suite 140 Canton GA 30114-5223 Ph: (770) 345-2000 | Spinal Medical Centers 557 Riverstone Pkwy Suite 140 Canton GA 30114-5223 Ph: (770) 345-2000 |
| NPI Number | 1396987152 |
|---|---|
| Provider Enumeration Date | 03/25/2009 |
| Last Update Date | 11/10/2014 |
| Medicare PECOS PAC ID | 1658422456 |
|---|---|
| Medicare Enrollment ID | O20090707000351 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396987152 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 048997 (Georgia) | Primary |
| Provider Name | James Mcgraw |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1114129749 PECOS PAC ID: 3779668421 Enrollment ID: I20080305000667 |
| Provider Name | Satish Cuddapah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265538854 PECOS PAC ID: 7618028424 Enrollment ID: I20090707000398 |
| Provider Name | Jill Northover |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326338609 PECOS PAC ID: 1355513292 Enrollment ID: I20111018000790 |
| Provider Name | Veronica V Edwards |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003101064 PECOS PAC ID: 4385805902 Enrollment ID: I20120409000150 |
| Provider Name | Steven R Hammond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942569470 PECOS PAC ID: 4587829627 Enrollment ID: I20120622000403 |
| Provider Name | Douglas Cox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710369012 PECOS PAC ID: 4082924246 Enrollment ID: I20151030001873 |
| Provider Name | Derek Sean Scott |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1740377100 PECOS PAC ID: 6507802022 Enrollment ID: I20170407001187 |
| Provider Name | Girish Makwana |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1023193240 PECOS PAC ID: 7416841721 Enrollment ID: I20170810001684 |
| Provider Name | Aubry L Knight |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780152421 PECOS PAC ID: 8224373592 Enrollment ID: I20181214002850 |
| Provider Name | Jon Eric Stubblefield |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1174693931 PECOS PAC ID: 8022252378 Enrollment ID: I20190221000560 |
Abundant Living Foundation, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1558 Marietta Hwy Ste 200, Canton, GA 30114 Phone: 914-275-1477 |
Donna C. Haley, M.D., P.C. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 687 Marietta Hwy, Canton, GA 30114 Phone: 770-479-8040 Fax: 770-479-7871 |
Georgia Highlands Medical Services, Inc. - Canton Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 220 Oakside Ln, Canton, GA 30114 Phone: 678-807-1050 Fax: 678-807-1055 |
Medical Care of Georgia, P.C. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 50 Medical Ln, Canton, GA 30114 Phone: 770-345-2300 Fax: 770-345-2330 |
Northcrest Urgent Care & Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7768 Cumming Hwy Ste 300, Canton, GA 30115 Phone: 707-111-1111 |
Mini-med Clinic of North Georgia Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5113 Holly Springs Parkway, Canton, GA 30115 Phone: 470-331-3544 |