NPI age
18 years
Enumerated 2007-10-23
● Active Type 2 · Organization
Pavilion Spine Surgery Center Llc
Pavilion Spine Surgery Center Llc is 1 of 602 clinic/center organizations in Georgia.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Kabakibou
Owner/president
Last NPPES update
2007-10-23
Source: monthly bulk 2026-05
How this organization compares
Across 602 active clinic/center providers in Georgia.
NPI age
18 years
↑ 3 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2007 → 2026
2007-10Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
3193 Howell Mill Rd Nw, Ste. #315
Atlanta, GA 303272119
Mailing address
3193 Howell Mill Rd Nw, Ste. #315
Atlanta, GA 303272119
Authorized official
Kamal C. Kabakibou, M.D.
Owner/president
📞 4046039090
Individual providers at this organization
20 individual providers on file at this primary practice address.
- Jessica Alvarez, PH.D. Psychologist NPI 1518346246
- Crawford Barnett, M.D. Internal Medicine NPI 1164424735
- Medhanie Berhane, M.D, MBA Plastic Surgery NPI 1770797904
- Kathleen Bradford, NP Nurse Practitioner NPI 1881820009
- Jessica Brown, DPM Podiatrist NPI 1275044190
- Lauren Brown, M.D. Pediatrics NPI 1114160561
- David Deruyter, MD Internal Medicine NPI 1134196280
- Gerald Domescik, M.D. Radiology NPI 1457335101
- Stanley Eaton, M.D. Radiology NPI 1881678530
- Nicole Ellerine, M.D. Pediatrics NPI 1154494706
- Shea Fleming, M.D. Pediatrics NPI 1063585636
- Pedro Garcia, M.D. Specialist NPI 1558428300
- Charles Johnson, M.D. Internal Medicine NPI 1821129651
- Kamal Kabakibou, M.D. Specialist NPI 1356427850
- James Kiley, M.D. Internal Medicine NPI 1366555625
- Karen Kline, P.A. Physician Assistant NPI 1639277197
- Anna Kuo, M.D. Pediatrics NPI 1194898759
- William Lang, M.D. Radiology NPI 1346231925
- Laurel Lemasters, M.D. Radiology NPI 1609850353
- Dania Masseoud, M.D. Internal Medicine NPI 1568471258
Specialties
-
Clinic/Center PrimaryDefinition to come...
Practice context
Multi-provider organization. 20 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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