PHYSICIANS SPINE AND REHAB SPECIALISTS OF GA – Specialist, NPI 1710946322
Specialist
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for PHYSICIANS SPINE AND REHAB SPECIALISTS OF GA
790 Church St NE Ste 550
Marietta, GA 300608958
Phone: (770) 419-9902
Type: Location
790 Church St NE Ste 520
Marietta, GA 300607282
Phone: (770) 419-9902
Type: Location
3855 Pleasant Hill Rd Ste 380
Duluth, GA 300968093
Phone: (770) 679-7000
Type: Location
1060 Red Bud Rd NE
Calhoun, GA 307012081
Phone: (706) 314-1910
Type: Location
18 Riverbend Dr SW Ste 100
Rome, GA 301616019
Phone: (706) 314-1900
Type: Location
1035 Southcrest Dr Ste 250
Stockbridge, GA 302816117
Phone: (678) 275-2200
Type: Location
790, Church Street Northeast, Elizabeth, Marietta, Cobb, Georgia, 30060, United States
SUITE 550
MARIETTA, GA 300607282
Phone: (770) 419-9902
Fax: (770) 419-7457
Type: Mailing
5730, Glenridge Drive Northeast, Sandy Springs, Fulton County, Georgia, 30328, United States
SUITE 100
SANDY SPRINGS, GA 303286141
Phone: (404) 816-3000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2004-02-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-10-31 (587 days ago).
Enrollment records
1
Earliest due date
2024-10-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20040211000575 | O | Clinic/Group Practice | GA | 2024-10-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 30060)
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