INTERVENTIONAL SPINE AND PAIN MANAGEMENT CENTER, PC
NPI 1154780914
Pain Medicine - Interventional Pain Medicine in Decatur, GA
About Interventional Spine And Pain Management Center, Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
INTERVENTIONAL SPINE AND PAIN MANAGEMENT CENTER, PC (NPI 1154780914) is a healthcare organization registered as an interventional pain medicine in Decatur, Georgia and active in the NPI registry since February 2016. The organization holds 2 active CLIA laboratory certificates and lists Victoria Beck, Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Interventional Spine And Pain Management Center, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
81Medicare enrollment records show 81 clinicians reassign Medicare billing to Interventional Spine And Pain Management Center, PC, which bills Medicare for the services they deliver. Of these, 16 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 8
Nearest to this location (20)
See all 81Peachtree Corners, GA 30092
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA 3
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 11D2265470
Interventional Spine And Pain Management, PC · Atlanta, GACertificate of Waiver 11D2343018
Interventional Spine And Pain Management Centers PC · Roswell, GACertificate of Waiver 11D2197333
Interventional Spine And Pain Management Ctr, PC · Peachtree City, GAFrequently 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 And Pain Management Center, PC's NPI number?
The NPI number for Interventional Spine And Pain Management Center, PC is 1154780914. It was assigned to this organization in the NPPES registry on February 22, 2016.
Where is Interventional Spine And Pain Management Center, PC located?
Interventional Spine And Pain Management Center, PC is located at 2675 N Decatur Rd Suite 303, Decatur, GA 30033. The listed phone number is (770) 929-9033.
What is Interventional Spine And 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.
Is Interventional Spine And Pain Management Center, PC enrolled in Medicare?
Yes. Interventional Spine And Pain Management Center, PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Interventional Spine And Pain Management Center, PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 81 clinicians in 8 Medicare specialties reassign their Medicare billing to Interventional Spine And Pain Management Center, PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (28), Pain Management (18) and Anesthesiology (16). Of these, 16 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Interventional Spine And Pain Management Center, PC hold CLIA laboratory certificates?
Yes. 2 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 And Pain Management Center, PC was last updated on May 16, 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.
# Interventional Spine And Pain Management Center, Pc · NPI 1154780914
Interventional Pain Medicine organization in Decatur, Georgia. Organization record, active in the CMS NPPES registry since February 22, 2016.
## Identity
- **NPI:** 1154780914 (Entity type: Organization)
- **Enumerated:** February 22, 2016
- **Primary specialty:** Pain Medicine - Interventional Pain Medicine · taxonomy 208VP0014X
- **Organization subpart:** No
- **Authorized official:** Victoria Beck, CFO
## Practice location
- **Address:** 2675 N DECATUR RD, SUITE 303, Decatur, GA 30033-6131
- **Phone:** (770) 929-9033
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 81 clinicians in 8 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (28), Pain Management (18), Anesthesiology (16); 16 practice within 10 miles; [full list](https://npiprofile.com/npi/1154780914/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 16, 2016
- **Other identifiers:** Medicare NSC 7398400010 (GA)
- **CLIA laboratory certificates:** 3 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1154780914) · Data from the CMS NPPES public registry.