Healthcare Provider Details

I. General information

NPI: 1164464194
Provider Name (Legal Business Name): JORGE R ALVEAR MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/12/2006
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1367 INTERSTATE PKWY
AUGUSTA GA
30909-5626
US

IV. Provider business mailing address

5730 GLENRIDGE DR STE 100
SANDY SPRINGS GA
30328-5579
US

V. Phone/Fax

Practice location:
  • Phone: 770-929-9033
  • Fax:
Mailing address:
  • Phone: 404-816-3000
  • Fax: 404-946-0404

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number052109
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License Number052109
License Number StateGA
# 3
Primary TaxonomyY
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License Number52109
License Number StateGA
# 4
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number052109
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: