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SOUTHERN PAIN AND SPINE - JASPER
NPI 1093469355
Pain Medicine - Interventional Pain Medicine in Jasper, GA

Active since February 07, 2022CLIA Certified · 4 labs
1101 OLD PHILADELPHIA RD STE G100, JASPER, GA 30143(678) 971-4167(833) 989-2501 Get Directions Write a Review

NPPES record last updated: May 25, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 25, 2022, May 12, 2022, Feb 7, 2022 (3 updates tracked since 2022).

About Southern Pain And Spine - Jasper NPPES

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

SOUTHERN PAIN AND SPINE - JASPER (NPI 1093469355) is a healthcare organization registered as an interventional pain medicine in Jasper, Georgia and active in the NPI registry since February 2022. The organization holds 4 active CLIA laboratory certificates and lists Hamish Patel, Coo, as its authorized official.

NPPES Registry Identity

NPI1093469355
Entity TypeOrganization
Primary Taxonomy208VP0014X
Legal Business NameSOUTHERN PAIN AND SPINE ASSOCIATES LLC
Location Address1101 OLD PHILADELPHIA RD STE G100Jasper, GA 30143-4044
Mailing AddressPo Box 28415Belfast, ME 04915-2036 · (888) 488-8289 · Fax (502) 919-9780
Phone(678) 971-4167
Fax(833) 989-2501
Organization SubpartYesParent: Southern Pain And Spine Associates, Llc
Authorized OfficialHamish PatelCoo · (470) 628-9203
Enumeration DateFebruary 7, 2022
Last NPPES UpdateMay 25, 20223 updates tracked since enumeration
NPPES CertifiedMay 25, 2022
✔ NPI 1093469355 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.
1101 OLD PHILADELPHIA RD STE G100, Jasper, GA 30143
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Other Names 1

Other NameSouthern Pain And Spine - Jasper

Other Identifiers 1

Other72139GA · Gcmb

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 4

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 11D2248497

Southern Pain And Spine - Jasper · Jasper, GA
Active · expires Jan 12, 2028
CLIA Number11D2248497
Laboratory TypePhysician Office
Certificate Effective DateJanuary 13, 2026
Certificate Expiration DateJanuary 12, 2028
Laboratory DirectorAnkur Patel
Laboratory Phone(678) 971-4167
Laboratory LocationSouthern Pain And Spine - Jasper1101 Old Philadelphia Road, Suite G100, Jasper, GA 30143
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 11D2204835

Southern Pain And Spine Associates LLC · Gainesville, GA
Active · expires Dec 9, 2026
CLIA Number11D2204835
Laboratory TypePhysician Office
Certificate Effective DateDecember 10, 2024
Certificate Expiration DateDecember 9, 2026
Laboratory DirectorAnkur Patel
Laboratory Phone(678) 971-4167
Laboratory LocationSouthern Pain And Spine Associates LLC601 Broad Street Suite B, Gainesville, GA 30501
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 11D2248493

Southern Pain And Spine - Athens · Athens, GA
Active · expires Jan 12, 2028
CLIA Number11D2248493
Laboratory TypePhysician Office
Certificate Effective DateJanuary 13, 2026
Certificate Expiration DateJanuary 12, 2028
Laboratory DirectorAnkur Patel
Laboratory Phone(678) 971-4167
Laboratory LocationSouthern Pain And Spine - Athens1500 Oglethorpe Avenue, Bldg 500 B, Athens, GA 30606
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 11D2296712

Southern Pain And Spine - Sandy Springs · Atlanta, GA
Active · expires Jan 3, 2028
CLIA Number11D2296712
Laboratory TypePhysician Office
Certificate Effective DateJanuary 4, 2026
Certificate Expiration DateJanuary 3, 2028
Laboratory DirectorAnkur Patel
Laboratory Phone(678) 971-4167
Laboratory LocationSouthern Pain And Spine - Sandy Springs1150 Hammond Drive, Bldg E, Ste 40, Atlanta, GA 30328
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 2

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

EMILY S CUMMINS NP-C
Nurse Practitioner (Family)
1101 OLD PHILADELPHIA RD STE G100
JASPER, GA 30143
Pickens County (678) 971-4167
SOUTHERN PAIN AND SPINE ASSOCIATES, LLC
Durable Medical Equipment & Medical Supplies
1101 OLD PHILADELPHIA RD STE G100
JASPER, GA 30143
Pickens County (678) 971-4167

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 Southern Pain And Spine Associates LLC's NPI number?

The NPI number for Southern Pain And Spine Associates LLC is 1093469355. It was assigned to this organization in the NPPES registry on February 7, 2022. The provider is also known as Southern Pain And Spine - Jasper.

Where is Southern Pain And Spine Associates LLC located?

Southern Pain And Spine Associates LLC is located at 1101 Old Philadelphia Rd Ste G100, Jasper, GA 30143. The listed phone number is (678) 971-4167.

What is Southern Pain And Spine Associates LLC's specialty?

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

Does Southern Pain And Spine Associates LLC hold CLIA laboratory certificates?

Yes. 4 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 Southern Pain And Spine Associates LLC was last updated on May 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.