INTERVENTIONAL SPINE & PAIN MANAGEMENT CENTER, PC
NPI 1003264532
Pain Medicine - Interventional Pain Medicine in Canton, GA
NPI Status: Active since May 25, 2016
Contact Information
2205 RIVERSTONE BLVD
SUITE 101
CANTON, GA
ZIP 30114
Phone: (770) 929-9033
Fax: (770) 929-9092
- Organization
- Pain Medicine
- Interventional Pain Medicine
- CLIA Number: 11D2308495
- CLIA Cert. Type: Ambulatory Surgery Center
- CLIA Exp. Date: 07-29-2026
About INTERVENTIONAL SPINE & PAIN MANAGEMENT CENTER, PC
This page provides the complete NPI Profile along with additional information for Interventional Spine & Pain Management Center, Pc, a provider established in Canton, Georgia operating as a Pain Medicine, focusing in interventional pain medicine . The healthcare provider is registered in the NPI registry with number 1003264532 assigned on May 2016. The practitioner's primary taxonomy code is 208VP0014X. The provider is registered as an organization and their NPI record was last updated 10 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Victoria Beck (Cfo)
- NPI
- 1003264532
- Provider Name
- INTERVENTIONAL SPINE & PAIN MANAGEMENT CENTER, PC
- Entity Type
- Organization
- Location Address
- 2205 RIVERSTONE BLVD SUITE 101 CANTON, GA 30114
- Location Phone
- (770) 929-9033
- Location Fax
- (770) 929-9092
- Mailing Address
- 3390 PEACHTREE RD NE SUITE 1500 ATLANTA, GA 30326
- Mailing Phone
- (404) 920-4950
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-25-2016
- Last Update Date
- 05-25-2016
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pain Medicine Interventional Pain Medicine
- Taxonomy Code
- 208VP0014X
- Type
- Allopathic & Osteopathic Physicians
- License State
- GA
- Taxonomy Description
- 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.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 11D2308495
- Facility Type
- Ambulatory Surgery Center
- Certificate Effective Date
- July 30, 2024
- Certificate Expiration Date
- July 29, 2026
- Laboratory Director
- DAVID ROSENFELD
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Interventional Spine & Pain Management Center, Pc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1003264532, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 58 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
CANTON, GA 30114
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1003264532, enumerated as an "organization" on May 25, 2016.
The provider is located at 2205 RIVERSTONE BLVD SUITE 101 CANTON, GA 30114 and the phone number is (770) 929-9033.
Pain Medicine with taxonomy code 208VP0014X and a focus in Interventional Pain Medicine.
