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SOUTHERN PAIN INSTITUTE
NPI 1174836845
Pharmacy - Community/Retail Pharmacy in Conyers, GA

Active since July 22, 2010
1501 MILSTEAD RD NE STE 140, CONYERS, GA 30012(770) 632-3730(770) 632-3731 Get Directions Write a Review

NPPES record last updated: February 24, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Southern Pain Institute NPPES

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

SOUTHERN PAIN INSTITUTE (NPI 1174836845) is a healthcare organization registered as a community/retail pharmacy in Conyers, Georgia and active in the NPI registry since July 2010. The organization lists Lynn Clavo, Pic, as its authorized official.

NPPES Registry Identity

NPI1174836845
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSOUTHERN PAIN INSTITUTE P C
Location Address1501 MILSTEAD RD NE STE 140Conyers, GA 30012-3849
Mailing Address1975 Highway 54 W, Ste 100Peachtree City, GA 30269-4794 · (770) 313-3380 · Fax (770) 632-3731
Phone(770) 632-3730
Fax(770) 632-3731
Organization SubpartNo
Authorized OfficialLynn ClavoPic · (770) 632-3730
Enumeration DateJuly 22, 2010
Last NPPES UpdateFebruary 24, 2015
✔ NPI 1174836845 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in GA · PHRE009658
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
1501 MILSTEAD RD NE STE 140, Conyers, GA 30012
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Other Names 1

Doing Business AsSouthern Pain Institute

Other Identifiers 2

Medicaid003100329AGA
Other2125516Pk

Other Providers at the Same Location NPPES

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

SYNERGY RADIOLOGY, LLC
Clinic/Center (Radiology)
1501 MILSTEAD RD NE STE 140
CONYERS, GA 30012
Rockdale County (678) 374-7322

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 Institute P C's NPI number?

The NPI number for Southern Pain Institute P C is 1174836845. It was assigned to this organization in the NPPES registry on July 22, 2010. The provider is doing business as Southern Pain Institute.

Where is Southern Pain Institute P C located?

Southern Pain Institute P C is located at 1501 Milstead Rd NE Ste 140, Conyers, GA 30012. The listed phone number is (770) 632-3730.

What is Southern Pain Institute P C's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

When was this NPI record last updated?

The NPPES record for Southern Pain Institute P C was last updated on February 24, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.