OrganizationActive
Atlanta Spine, PC
NPI 1073979621 · Orthopaedic Surgery Physician · Conyers, GA
Provider details
- NPI number
- 1073979621
- Entity type
- Organization
- Primary specialty
- Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kimberly Ford, Practice Administrator(678) 369-6934
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- Interventional Pain Medicine Physician208VP0014X
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
5 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1288 Wellbrook Cir Ne Ste a
Conyers, GA 30012-8032
Phone: (678) 369-6934
Street-level locationGet directions
Mailing address
1288 Wellbrook Cir Ne Ste a
Conyers, GA 30012-8032
Additional practice locations (4)
- 60 Peachtree Park Dr Ne Ste 200Atlanta, GA 30309-1304Phone: (678) 369-6934
- 2061 Peachtree Rd Ne Ste 250Atlanta, GA 30309-1440Phone: (678) 369-6934
- 2675 N Decatur Rd Ste 401Decatur, GA 30033-6133Phone: (678) 369-6934
- 2340 Patrick Henry PkwyMcdonough, GA 30253-4325Phone: (678) 369-6934
Registry dates
- Enumerated
- 2016-01-12
- Last updated
- 2019-08-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.