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INTERVENTIONAL SPINE & PAIN MANAGEMENT CENTER, PC
NPI 1003264532
Pain Medicine - Interventional Pain Medicine in Canton, GA

Active since May 25, 2016CLIA Certified · 18 labs
2205 RIVERSTONE BLVD, SUITE 101, CANTON, GA 30114(770) 929-9033(770) 929-9092 Get Directions Write a Review

NPPES record last updated: May 25, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Interventional Spine & Pain Management Center, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INTERVENTIONAL SPINE & PAIN MANAGEMENT CENTER, PC (NPI 1003264532) is a healthcare organization registered as an interventional pain medicine in Canton, Georgia and active in the NPI registry since May 2016. The organization holds 18 active CLIA laboratory certificates and lists Victoria Beck, Cfo, as its authorized official.

NPPES Registry Identity

NPI1003264532
Entity TypeOrganization
Primary Taxonomy208VP0014X
Legal Business NameINTERVENTIONAL SPINE & PAIN MANAGEMENT CENTER, PC
Location Address2205 RIVERSTONE BLVD, SUITE 101Canton, GA 30114-5227
Mailing Address3390 Peachtree Rd Ne, Suite 1500Atlanta, GA 30326-1157 · (404) 920-4950
Phone(770) 929-9033
Fax(770) 929-9092
Organization SubpartNo
Authorized OfficialVictoria BeckCfo · (404) 920-4950
Enumeration DateMay 25, 2016
✔ NPI 1003264532 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0014X
Definition
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.
2205 RIVERSTONE BLVD, Canton, GA 30114
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 21

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D2186906

Interventional Spine & Pain Management PC · Augusta, GA
Active · expires Jun 22, 2028
CLIA Number11D2186906
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJune 23, 2026
Certificate Expiration DateJune 22, 2028
Laboratory DirectorJorge Alvear
Laboratory Phone(404) 920-4950
Laboratory LocationInterventional Spine & Pain Management PC3152 Perimeter Parkway, Suite 1, Augusta, GA 30909
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 11D2343018

Interventional Spine And Pain Management Centers PC · Roswell, GA
Active · expires Apr 29, 2028
CLIA Number11D2343018
Laboratory TypePhysician Office
Certificate Effective DateApril 30, 2026
Certificate Expiration DateApril 29, 2028
Laboratory DirectorJohn D. Cochran
Laboratory Phone(404) 920-4950
Laboratory LocationInterventional Spine And Pain Management Centers PC1295 Hembree Road, Suite 105 A, Roswell, GA 30076
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 11D2302754

Interventional Spine And Pain Management Centers PC · Jasper, GA
Active · expires Apr 15, 2028
CLIA Number11D2302754
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateApril 16, 2026
Certificate Expiration DateApril 15, 2028
Laboratory DirectorShawn Cable
Laboratory Phone(404) 920-4950
Laboratory LocationInterventional Spine And Pain Management Centers PC35 W Church Street, Suite 101, Jasper, GA 30143
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Accreditation 11D2000466

Interventional Spine And Pain Management Ctr, LLC · Roswell, GA
Active · expires Apr 3, 2028
CLIA Number11D2000466
Laboratory TypePhysician Office
Certificate Effective DateApril 4, 2026
Certificate Expiration DateApril 3, 2028
Laboratory DirectorJohn D. Cochran
Laboratory Phone(404) 920-4950
Laboratory LocationInterventional Spine And Pain Management Ctr, LLC1295 Hembree Road, Suite 102 A, Roswell, GA 30076
CLIA data matches this NPI record on: Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Waiver 11D2337896

Interventional Spine And Pain Management Centers PC · Atlanta, GA
Active · expires Feb 1, 2028
CLIA Number11D2337896
Laboratory TypePhysician Office
Certificate Effective DateFebruary 2, 2026
Certificate Expiration DateFebruary 1, 2028
Laboratory DirectorAllen Hord
Laboratory Phone(404) 920-4950
Laboratory LocationInterventional Spine And Pain Management Centers PC3925 Peachtree Road, Suite 200, Atlanta, GA 30319
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 11D2337324

Interventional Spine And Pain Management Centers PC · Dawsonville, GA
Active · expires Jan 20, 2028
CLIA Number11D2337324
Laboratory TypePhysician Office
Certificate Effective DateJanuary 21, 2026
Certificate Expiration DateJanuary 20, 2028
Laboratory DirectorScott Masson
Laboratory Phone(404) 920-4950
Laboratory LocationInterventional Spine And Pain Management Centers PC1080 Lumpkin Campground Road South, Suite 300, Dawsonville, GA 30534
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NORTHWEST ENDODONTIC SPECIALISTS, P.C.
Dentist (Endodontics)
2205 RIVERSTONE BLVD, SUITE 205
CANTON, GA 30114
Cherokee County (678) 493-6693

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Interventional Spine & Pain Management Center, PC's NPI number?

The NPI number for Interventional Spine & Pain Management Center, PC is 1003264532. It was assigned to this organization in the NPPES registry on May 25, 2016.

Where is Interventional Spine & Pain Management Center, PC located?

Interventional Spine & Pain Management Center, PC is located at 2205 Riverstone Blvd Suite 101, Canton, GA 30114. The listed phone number is (770) 929-9033.

What is Interventional Spine & Pain Management Center, PC's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

Does Interventional Spine & Pain Management Center, PC hold CLIA laboratory certificates?

Yes. 18 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Interventional Spine & Pain Management Center, PC was last updated on May 25, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.