ADVANCE PAIN MANAGEMENT LLC.
NPI 1013213073
Nurse Practitioner - Adult Health in Atlanta, GA

Active since February 08, 2011CLIA 11D2023803 · Certificate of Compliance
2950 STONE HOGAN CONN SW, BLDG A, STE B, ATLANTA, GA 30331(404) 781-2800(404) 844-2903 Get Directions Write a Review

NPPES record last updated: May 21, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Advance Pain Management Llc. NPPES

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

ADVANCE PAIN MANAGEMENT LLC. (NPI 1013213073) is a healthcare organization registered as an adult health in Atlanta, Georgia and active in the NPI registry since February 2011. The organization holds a CLIA Certificate of Compliance certificate valid through August 26, 2027 and lists Geetha Manchireddy, Anesthesia, as its authorized official.

NPPES Registry Identity

NPI1013213073
Entity TypeOrganization
Primary Taxonomy363LA2200X
Legal Business NameADVANCE PAIN MANAGEMENT LLC.
Location Address2950 STONE HOGAN CONN SW, BLDG A, STE BAtlanta, GA 30331-2837
Mailing Address150 Medical Blvd, Ste CStockbridge, GA 30281-5053 · (404) 932-6172 · Fax (404) 844-2903
Fax(404) 844-2903
Organization SubpartNo
Authorized OfficialGeetha ManchireddyAnesthesia · (404) 932-6172
Enumeration DateFebruary 8, 2011
Last NPPES UpdateMay 21, 2021
NPPES CertifiedFebruary 2, 2021
NPI 1013213073 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
2950 STONE HOGAN CONN SW, Atlanta, GA 30331

Other Identifiers 1

Medicaid000943533BGA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

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 Compliance 11D2023803

Advance Pain Management · Atlanta, GA
Active · expires Aug 26, 2027
CLIA Number11D2023803
Laboratory TypePhysician Office
Certificate Effective DateAugust 27, 2025
Certificate Expiration DateAugust 26, 2027
Laboratory DirectorFelix O. Omoruyi
Laboratory Phone(912) 342-2443
Laboratory LocationAdvance Pain Management2950 Stone Hogan Connector SW, Building A, Atlanta, GA 30331
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES

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

Clinic/Center (Ambulatory Surgical)
2950 STONE HOGAN CONN SW, BLDG A, SUITE C
ATLANTA, GA 30331

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 Advance Pain Management LLC.'s NPI number?

The NPI number for Advance Pain Management LLC. is 1013213073. It was assigned to this organization in the NPPES registry on February 8, 2011.

Where is Advance Pain Management LLC. located?

Advance Pain Management LLC. is located at 2950 Stone Hogan Conn SW Bldg A, Ste B, Atlanta, GA 30331. The listed phone number is (404) 781-2800.

What is Advance Pain Management LLC.'s specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Does Advance Pain Management LLC. hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 11D2023803) is associated with this NPI, valid through August 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Advance Pain Management LLC. was last updated on May 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.