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ADVANCED SPINE & PAIN INTERVENTIONS, LLC
NPI 1184021180
Pain Medicine - Interventional Pain Medicine in Alpharetta, GA

Active since November 19, 2014CLIA 11D2095245 · Waiver
12389 CRABAPPLE RD, ALPHARETTA, GA 30004(470) 299-1998(470) 299-1898 Get Directions Write a Review

NPPES record last updated: May 18, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 18, 2026, Apr 23, 2024, Dec 29, 2017 and 1 more (4 updates tracked since 2016).

About Advanced Spine & Pain Interventions, Llc NPPES

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

ADVANCED SPINE & PAIN INTERVENTIONS, LLC (NPI 1184021180), doing business as Advanced Spine & Pain Interventions, is a healthcare organization registered as an interventional pain medicine in Alpharetta, Georgia and active in the NPI registry since November 2014. The organization holds a CLIA Waiver certificate valid through May 2, 2027 and lists Woodley Bernadette Mardy-davis, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1184021180
Entity TypeOrganization
Primary Taxonomy208VP0014X
Legal Business NameADVANCED SPINE & PAIN INTERVENTIONS, LLC
Location Address12389 CRABAPPLE RDAlpharetta, GA 30004-6328
Mailing Address12389 Crabapple RdAlpharetta, GA 30004-6328 · (470) 299-1998 · Fax (470) 299-1898
Phone(470) 299-1998
Fax(470) 299-1898
Organization SubpartNo
Authorized OfficialWoodley Bernadette Mardy-davisMedical Director · (470) 299-1998
Enumeration DateNovember 19, 2014
Last NPPES UpdateMay 18, 20264 updates tracked since enumeration
NPPES CertifiedMay 18, 2026
✔ NPI 1184021180 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0014X
License✔ Licensed in GA · 059463
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.
Also ListedAnesthesiology · Addiction MedicineTaxonomy 207LA0401X · License 059463 (GA)
12389 CRABAPPLE RD, Alpharetta, GA 30004
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Other Names 1

Doing Business AsAdvanced Spine & Pain Interventions

Other Identifiers 1

Other2152738Pk

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..Insurance ›

CLIA Laboratory Certificates CMS CLIA

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 11D2095245

Advanced Spine & Pain Interventions, LLC · Alpharetta, GA
Active · expires May 2, 2027
CLIA Number11D2095245
Laboratory TypePhysician Office
Certificate Effective DateMay 3, 2025
Certificate Expiration DateMay 2, 2027
Laboratory DirectorMardy Davis Woodley
Laboratory Phone(470) 299-1998
Laboratory LocationAdvanced Spine & Pain Interventions, LLC12389 Crabapple Road, Alpharetta, GA 30004
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

ARISTA OB/GYN ASSOCIATES, P.C.
Obstetrics & Gynecology
12389 CRABAPPLE RD
ALPHARETTA, GA 30004
Fulton County (770) 475-7275
EBANGA AGBOR NP
Nurse Practitioner
12389 CRABAPPLE RD
ALPHARETTA, GA 30004
Fulton County (470) 299-1998
KENNETH DALE WENSLOW PA
Physician Assistant
12389 CRABAPPLE RD
ALPHARETTA, GA 30004
Fulton County (470) 299-1998
ADVANCED AMBULATORY SURGERY CENTER, LLC
Clinic/Center (Ambulatory Surgical)
12389 CRABAPPLE RD
ALPHARETTA, GA 30004
Fulton County (470) 299-1998
DR. WOODLEY BERNADETTE MARDY-DAVIS M.D.
Pain Medicine (Interventional Pain Medicine)
12389 CRABAPPLE RD
ALPHARETTA, GA 30004
Fulton County (470) 299-1998

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 Advanced Spine & Pain Interventions, LLC's NPI number?

The NPI number for Advanced Spine & Pain Interventions, LLC is 1184021180. It was assigned to this organization in the NPPES registry on November 19, 2014. The provider is doing business as Advanced Spine & Pain Interventions.

Where is Advanced Spine & Pain Interventions, LLC located?

Advanced Spine & Pain Interventions, LLC is located at 12389 Crabapple Rd, Alpharetta, GA 30004. The listed phone number is (470) 299-1998.

What is Advanced Spine & Pain Interventions, LLC's specialty?

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

Does Advanced Spine & Pain Interventions, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2095245) is associated with this NPI, valid through May 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Advanced Spine & Pain Interventions, LLC accept?

Health plans from Alliant Health Plans, Inc. list Advanced Spine & Pain Interventions, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Advanced Spine & Pain Interventions, LLC was last updated on May 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.