# SPORTS AND SPINE INSTITUTE

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ATLANTA SPORTS AND SPINE
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1245689777
- **Legal business name:** ATLANTA SPORTS AND SPINE
- **Authorized official:** DR. AMRISH DINUBHAI PATEL MD (MD/PRESIDENT)
- **Authorized official phone:** (706) 580-3607

## Contact information

- **Practice address:** 2340 PATRICK HENRY PKWY, 150, MCDONOUGH, GA 30253-4325
- **Practice address phone:** (678) 866-3646
- **Practice address fax:** (678) 804-6862
- **Mailing address:** 2340 PATRICK HENRY PKWY, 150, MCDONOUGH, GA 30253-4325
- **Mailing address phone:** (678) 866-3646
- **Mailing address fax:** (678) 804-6862

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | 067950 | GA | Yes |
| 2081S0010X | Sports Medicine (Physical Medicine & Rehabilitation) Physician | 067950 | GA | — |

## Other

- **Enumeration date:** 06/06/2016
- **Last updated:** 06/06/2016