SOUTHEASTERN INTERVENTIONAL PAIN ASC LLC – NPI #1588994685
Clinic/Center

SOUTHEASTERN INTERVENTIONAL PAIN ASC LLC is an AHC clinic located in ATLANTA, GA. NPPES has assigned the NPI number 1588994685 to SOUTHEASTERN INTERVENTIONAL PAIN ASC LLC on January 12, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was last updated on Feb 20, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SOUTHEASTERN INTERVENTIONAL PAIN ASC LLC below.

NPI Profile for
SOUTHEASTERN INTERVENTIONAL PAIN ASC LLC

NPI Number
1588994685
Enumeration Date

(more than 16 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SOUTHEASTERN INTERVENTIONAL PAIN ASC LLC
Primary location
1150 HAMMOND DR NE
LL 50
ATLANTA, GA 30328
Phone: (678) 971-4167 Fax: (678) 971-4168
Mailing address
PO BOX 37580
BELFAST, ME 04915-1217
Phone: (678) 971-4167 Fax: (833) 989-2501
Organization Subpart
No
Authorized Official
ANKUR PATEL
OWNER
Phone: (678) 971-4167
Updated
Certification Date
Feb 20, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for SOUTHEASTERN INTERVENTIONAL PAIN ASC LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherMEDICAREGA202G498226
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)		 GA LNR-ASC2014-023

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.