Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Spine Specialists of Atlanta, LLC

Organization General Practice Physician · NPI 1114417250

Spine Specialists of Atlanta, LLC provides General Practice Physician services in Tucker, Georgia. Licensed in Georgia. Registered with an NPI since 2018.

Licensed in
GA
In the registry since
2018
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1462 Montreal Rd Ste 212
Tucker, GA 30084-6929
Phone: (770) 934-4233
Fax: (678) 395-4585
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence 79267 (GA)

Record details

NPI number1114417250
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dana Piccirillo — Owner · (770) 934-4233
NPI enumeratedMay 15, 2018
Last updated in NPPESMay 15, 2018
Mailing address1462 Montreal Rd. Suite 212, Tucker, GA 30084-6929

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