SOUTHERN PAIN INSTITUTE PC – NPI #1609913318
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.

SOUTHERN PAIN INSTITUTE PC is a provider located in CONYERS, GA. NPPES has assigned the NPI number 1609913318 to SOUTHERN PAIN INSTITUTE PC on January 31, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. 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 previously updated about 11 years ago on Jul 30, 2015. 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 SOUTHERN PAIN INSTITUTE PC below.

NPI Profile for
SOUTHERN PAIN INSTITUTE PC

NPI Number
1609913318
Enumeration Date

(more than 19 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
SOUTHERN PAIN INSTITUTE PC
Primary location
1501 MILSTEAD RD NE
SUITE 140
CONYERS, GA 30012-3838
Phone: (770) 632-3730 Fax: (770) 632-3731
Mailing address
1975 HIGHWAY 54 W
SUITE 100
PEACHTREE CITY, GA 30269-4794
Phone: (770) 632-3730 Fax: (770) 632-3731
Organization Subpart
No
Authorized Official
ANTHONY CLAVO
CEO
Phone: (770) 632-3730
Updated
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 045425

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.