Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Spine Specialists of Atlanta, LLC

Organization General Practice Physician · NPI 1114417250

Spine Specialists of Atlanta, LLC is a General Practice Physician 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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