Healthcare Provider Details

I. General information

NPI: 1447161468
Provider Name (Legal Business Name): LIV SPECIALTY CARE GA, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2026
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7391 N POINT PKWY STE 1430
ALPHARETTA GA
30022-8256
US

IV. Provider business mailing address

4900 CENTENNIAL BLVD STE 300 BOX 104
NASHVILLE TN
37209
US

V. Phone/Fax

Practice location:
  • Phone: 770-626-7501
  • Fax: 770-502-6797
Mailing address:
  • Phone: 844-509-1404
  • Fax: 844-278-8635

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QI0500X
TaxonomyInfusion Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: WOODY BAUM
Title or Position: CEO
Credential:
Phone: 646-568-0193