JONATHAN ALTMAN — NPI 1659722601 (Licensed & Credentialed Allopathic & Osteopathic Physicians — Pain Medicine, Pain Medicine in CONYERS, GA)

CMS-1500 Box 24J / 33a • NPI

1659722601

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

208VP0000X (CMS 72)

Licensed & Credentialed Allopathic & Osteopathic Physicians — Pain Medicine, Pain Medicine

Box 32 Service Location & ZIP+4

1301 SIGMAN RD NE STE 125, CONYERS, GA, 30012-3820

✓ 9-Digit EDI 837 ZIP+4 (30012-3820)

Practice Phone & Referral Fax

(678) 413-6276

Fax: (678) 413-6277

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1659722601 (JONATHAN ALTMAN) 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

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1659722601` (NPI-1 Individual Practitioner)
Provider / Legal Name	JONATHAN ALTMAN
Plain-English Specialty	Licensed & Credentialed Allopathic & Osteopathic Physicians — Pain Medicine, Pain Medicine NUCC Code: `208VP0000X` (N/A)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	1301 SIGMAN RD NE STE 125, CONYERS, GA, 30012-3820
Practice Telephone / Fax	Tel: (678) 413-6276 \| Fax: (678) 413-6277
Administrative Mailing Address	3100 INTERSTATE NORTH CIR SE STE 500, ATLANTA, GA, 30339-2296
Enumeration & Last Sync	Enumerated: 2016-06-30 \| CMS Record Updated: 2025-11-04

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

1301 SIGMAN RD NE STE 125, CONYERS, GA, 30012-3820

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Plain-English Taxonomy & CMS Crosswalk (208VP0000X)

What Does Taxonomy Code 208VP0000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 208VP0000X translates to:
"Licensed & Credentialed Allopathic & Osteopathic Physicians — Pain Medicine, Pain Medicine"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 72 (Physician/Pain Management)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Allopathic & Osteopathic Physicians — Pain Medicine, Pain Medicine for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (JONATHAN ALTMAN)

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

Common Therapeutic Classes:

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
`208VP0000X` — Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Pain Medicine, Pain Medicine	State: GA \| License: `84606` \| Primary: Yes (Primary)
`207P00000X` — Emergency Medicine Plain English: Board-Certified Emergency Medicine Physician (ER / Trauma Doctor)	State: GA \| License: `84606` \| Primary: Secondary

Medical Billing, RCM & Hospital Credentialing Teams:

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JONATHAN ALTMAN (NPI #1659722601)