CMS-1500 Box 24J / 33a • NPI
1023651312
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
208VP0014X (CMS 09)
Licensed & Credentialed Allopathic & Osteopathic Physicians — Pain Medicine, Interventional Pain Medicine
Box 32 Service Location & ZIP+4
3925 JOHNS CREEK CT STE C2, SUWANEE, GA, 30024-6618
✓ 9-Digit EDI 837 ZIP+4 (30024-6618)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1023651312 (ATLANTIC ADVANCED BRANDED CENTER, LLC.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1023651312 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | ATLANTIC ADVANCED BRANDED CENTER, LLC. |
| Plain-English Specialty | Licensed & Credentialed Allopathic & Osteopathic Physicians — Pain Medicine, Interventional Pain Medicine NUCC Code: 208VP0014X (Pain Medicine, Interventional Pain Medicine) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 3925 JOHNS CREEK CT STE C2, SUWANEE, GA, 30024-6618 |
| Practice Telephone / Fax | Tel: (470) 268-6980 | Fax: (888) 815-1765 |
| Administrative Mailing Address | 3651 PEACHTREE PKWY STE E-313, SUWANEE, GA, 30024-6009 |
| Enumeration & Last Sync | Enumerated: 2019-10-20 | CMS Record Updated: 2023-03-10 |
| Authorized Official | KEWEI YU (President) |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (208VP0014X)
What Does Taxonomy Code 208VP0014X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 208VP0014X translates to:
"Licensed & Credentialed Allopathic & Osteopathic Physicians — Pain Medicine, Interventional Pain Medicine"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (ATLANTIC ADVANCED BRANDED CENTER, LLC.)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
2251N0400X — Physical Therapist, NeurologyPlain English: Board-Certified Neurologist (Brain, Spine, Stroke & Nerve Specialist) | State: N/A | License: Verified | Primary: Secondary |
2084A0401X — Psychiatry & Neurology, Addiction MedicinePlain English: Board-Certified Neurologist (Brain, Spine, Stroke & Nerve Specialist) | State: N/A | License: Verified | Primary: Secondary |
2084N0400X — Psychiatry & Neurology, NeurologyPlain English: Board-Certified Neurologist (Brain, Spine, Stroke & Nerve Specialist) | State: N/A | License: Verified | Primary: Secondary |
2084N0600X — Plain English: Board-Certified Neurologist (Brain, Spine, Stroke & Nerve Specialist) | State: N/A | License: Verified | Primary: Secondary |
2084P2900X — Psychiatry & Neurology, Pain MedicinePlain English: Board-Certified Neurologist (Brain, Spine, Stroke & Nerve Specialist) | State: N/A | License: Verified | Primary: Secondary |
2084S0010X — Psychiatry & Neurology, Sports MedicinePlain English: Board-Certified Neurologist (Brain, Spine, Stroke & Nerve Specialist) | State: N/A | License: Verified | Primary: Secondary |
208VP0014X — Pain Medicine, Interventional Pain MedicinePlain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Pain Medicine, Interventional Pain Medicine | State: N/A | License: Verified | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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