NPI age
9 years
Enumerated 2017-03-14
● Active Type 2 · Organization
Georgia Brain And Spine Llc
Georgia Brain And Spine Llc is 1 of 1881 specialist organizations in Georgia.
Primary specialty
Specialist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Dare
Medical Director
Last NPPES update
2017-03-14
Source: monthly bulk 2026-05
How this organization compares
Across 1881 active specialist providers in Georgia.
NPI age
9 years
↓ 10 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2017 → 2026
2017-03Enumerated in NPPES
2017
2026
Where they practice
Primary practice location
2107 N Decatur Rd, Unit 448
Decatur, GA 300335305
Mailing address
2107 N Decatur Rd, Unit 448
Decatur, GA 300335305
Authorized official
Amos O Dare, M.D.
Medical Director
📞 4044180192
Individual providers at this organization
3 individual providers on file at this primary practice address.
- James Fuller, PA-C Physician Assistant NPI 1497776132
- Helene McDowell, OT Occupational Therapist NPI 1629072251
- Lily Lan-Nhu Pham, MD Internal Medicine NPI 1477765790
Specialties
-
Specialist PrimaryAn individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 64353 | MEDICAL LICENSE |
Practice context
Multi-provider organization. 3 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 →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.