SOUTHSIDE MEDICAL & PHYSICAL THERAPY, LLC - NPI 1063628675

Q: What is Southside Medical & Physical Therapy, LLC's specialty?

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

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About Southside Medical & Physical Therapy, Llc NPPES

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

SOUTHSIDE MEDICAL & PHYSICAL THERAPY, LLC (NPI 1063628675) is a healthcare organization registered as an interventional pain medicine in Fayetteville, Georgia and active in the NPI registry since May 2007. The organization lists Steven Lobel, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1063628675

Entity TypeOrganization

Primary Taxonomy208VP0014X

Legal Business NameSOUTHSIDE MEDICAL & PHYSICAL THERAPY, LLC

Location Address1415 HIGHWAY 85 N, SUITE 310-314Fayetteville, GA 30214-4035

Mailing Address1415 Highway 85 N, Suite 310-314Fayetteville, GA 30214-4035 · (866) 476-8913

Phone(866) 476-8913

Organization SubpartNo

Authorized OfficialSteven LobelMedical Director · (866) 476-8913

Enumeration DateMay 14, 2007

Last NPPES UpdateOctober 29, 2007

✔ NPI 1063628675 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians

Taxonomy Code208VP0014X

License✔ Licensed in GA · 054590

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.

1415 HIGHWAY 85 N, Fayetteville, GA 30214

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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

Other Providers at the Same Location NPPES 4

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

MEDICAL CONSULTANTS OF SOUTHEAST

Clinic/Center

1415 HIGHWAY 85 N, SUITE 310-384
FAYETTEVILLE, GA 30214

Fayette County (404) 556-1114

QUANTIYANNA GASKINS

Speech-Language Pathologist

1415 HIGHWAY 85 N, 310-261
FAYETTEVILLE, GA 30214

Fayette County (678) 499-6028

YOLANDA DUNN

Social Worker (Clinical)

1415 HIGHWAY 85 N
FAYETTEVILLE, GA 30214

Fayette County (336) 653-0317

TASHI POWELL APRN

Nurse Practitioner (Psychiatric/Mental Health)

1415 HIGHWAY 85 N
FAYETTEVILLE, GA 30214

Fayette County (404) 397-8701

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 Southside Medical & Physical Therapy, LLC's NPI number?

The NPI number for Southside Medical & Physical Therapy, LLC is 1063628675. It was assigned to this organization in the NPPES registry on May 14, 2007.

Where is Southside Medical & Physical Therapy, LLC located?

Southside Medical & Physical Therapy, LLC is located at 1415 Highway 85 N Suite 310-314, Fayetteville, GA 30214. The listed phone number is (866) 476-8913.

What is Southside Medical & Physical Therapy, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Southside Medical & Physical Therapy, LLC was last updated on October 29, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.