INTERVENTIONAL SPINE AND PAIN MANAGEMENT CENTER, PC
NPI 1154780914
Pain Medicine - Interventional Pain Medicine in Decatur, GA
NPI Status: Active since February 22, 2016
Contact Information
2675 N DECATUR RD
SUITE 303
DECATUR, GA
ZIP 30033
Phone: (770) 929-9033
- Organization
- Pain Medicine
- Interventional Pain Medicine
- CLIA Number: 11D2174855
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 11-11-2027
About INTERVENTIONAL SPINE AND PAIN MANAGEMENT CENTER, PC
This page provides the complete NPI Profile along with additional information for Interventional Spine And Pain Management Center, Pc, a provider established in Decatur, Georgia operating as a Pain Medicine, focusing in interventional pain medicine . The healthcare provider is registered in the NPI registry with number 1154780914 assigned on February 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
- 1154780914
- Provider Name
- INTERVENTIONAL SPINE AND PAIN MANAGEMENT CENTER, PC
- Entity Type
- Organization
- Location Address
- 2675 N DECATUR RD SUITE 303 DECATUR, GA 30033
- Location Phone
- (770) 929-9033
- 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
- 02-22-2016
- Last Update Date
- 05-16-2016
- 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
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7398400010 | MEDICARE NSC (07) | GA |
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
- 11D2174855
- Facility Type
- Physician Office
- Certificate Effective Date
- November 12, 2025
- Certificate Expiration Date
- November 11, 2027
- Laboratory Director
- PATEL PREETESH
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Interventional Spine And 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 1154780914, we treat the final digit (4) 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 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).
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 56 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
DECATUR, GA 30033
DECATUR, GA 30033
DECATUR, GA 30033
DECATUR, GA 30033
DECATUR, GA 30033
DECATUR, GA 30033
DECATUR, GA 30033
DECATUR, GA 30033
DECATUR, GA 30033
DECATUR, GA 30033
DECATUR, GA 30033
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1154780914, enumerated as an "organization" on February 22, 2016.
The provider is located at 2675 N DECATUR RD SUITE 303 DECATUR, GA 30033 and the phone number is (770) 929-9033.
Pain Medicine with taxonomy code 208VP0014X and a focus in Interventional Pain Medicine.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
