ADVANCED SPINE & PAIN INTERVENTIONS, LLC – NPI #1184021180
Pain Medicine

Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

ADVANCED SPINE & PAIN INTERVENTIONS, LLC is a provider located in ALPHARETTA, GA. NPPES has assigned the NPI number 1184021180 to ADVANCED SPINE & PAIN INTERVENTIONS, LLC on November 19, 2014. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208VP0014X from the Health Care Provider Taxonomy code set, which is classified as Pain Medicine, specializing in Interventional Pain Medicine

The NPI profile was last updated on May 18, 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 ADVANCED SPINE & PAIN INTERVENTIONS, LLC below.

NPI Profile for
ADVANCED SPINE & PAIN INTERVENTIONS, LLC

NPI Number
1184021180
Enumeration Date

(more than 11 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
ADVANCED SPINE & PAIN INTERVENTIONS, LLC
Primary location
12389 CRABAPPLE RD
ALPHARETTA, GA 30004-6328
Phone: (470) 299-1998 Fax: (470) 299-1898
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
WOODLEY MARDY-DAVIS
MEDICAL DIRECTOR
Phone: (470) 299-1998
Updated
Certification Date
May 18, 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 ADVANCED SPINE & PAIN INTERVENTIONS, 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
otherPK2152738
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
208VP0014X
- Pain Medicine / Interventional Pain Medicine (Primary)
GA 059463
207LA0401X
- Anesthesiology / Addiction Medicine
GA 059463

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.