Organization
GEORGIA SPINE AND BRAIN, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OMAR JIMENEZ MD (OWNER)
(678) 838-6600
Entity
Organization
Contact information
Practice address
1676 MULKEY RD, SUITE A, AUSTELL, GA 30106-1170
(678) 838-6600
(678) 838-6602
Mailing address
1676 MULKEY RD, SUITE A, AUSTELL, GA 30106-1170
(678) 838-6600
(678) 838-6602
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GRP4690
MEDICARE GRP ID
GA
Enumeration date
07/04/2006
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us