=====================================================
General NPI Number Information
=====================================================
NPI Number | 1447161468
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | LIV SPECIALTY CARE GA, P.C.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/16/2026
-----------------------------------------------------
Last Update Date | 09/16/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 7391 N POINT PKWY STE 1430
-----------------------------------------------------
City | ALPHARETTA
-----------------------------------------------------
State | GA
-----------------------------------------------------
Zip | 30022-8256
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 770-626-7501
-----------------------------------------------------
Fax | 770-502-6797
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4900 CENTENNIAL BLVD STE 300 BOX 104
-----------------------------------------------------
City | NASHVILLE
-----------------------------------------------------
State | TN
-----------------------------------------------------
Zip | 37209
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 844-509-1404
-----------------------------------------------------
Fax | 844-278-8635
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | WOODY BAUM
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 646-568-0193
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 208VP0000X
-----------------------------------------------------
Taxonomy Name | Pain Medicine Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 261QI0500X
-----------------------------------------------------
Taxonomy Name | Infusion Therapy Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------