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NOVA SPINE AND PAIN CARE PC
NPI 1225759236
Anesthesiology - Pain Medicine in Canton, GA

Active since September 07, 2022CLIA 11D2344433 · Waiver
145 RIVERSTONE TER STE 101, CANTON, GA 30114(770) 450-4807 Get Directions Write a Review

NPPES record last updated: September 16, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 16, 2025, Oct 25, 2022, Oct 12, 2022 and 1 more (4 updates tracked since 2022).

About Nova Spine And Pain Care Pc NPPES

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

NOVA SPINE AND PAIN CARE PC (NPI 1225759236), doing business as Nova Spine And Pain Care, is a healthcare organization registered as a pain medicine in Canton, Georgia and active in the NPI registry since September 2022. The organization holds a CLIA Waiver certificate valid through May 21, 2028 and lists Chitra Ramasubbu, Director, as its authorized official.

NPPES Registry Identity

NPI1225759236
Entity TypeOrganization
Primary Taxonomy207LP2900X
Legal Business NameNOVA SPINE AND PAIN CARE PC
Location Address145 RIVERSTONE TER STE 101Canton, GA 30114-5327
Mailing Address145 Riverstone Ter Ste 101Canton, GA 30114-5327 · (770) 450-4807
Phone(770) 450-4807
Organization SubpartNo
Authorized OfficialChitra RamasubbuDirector · (267) 901-3020
Enumeration DateSeptember 7, 2022
Last NPPES UpdateSeptember 16, 20254 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2025
✔ NPI 1225759236 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LP2900X
Definition
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
145 RIVERSTONE TER STE 101, Canton, GA 30114
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Other Names 1

Doing Business AsNova Spine And Pain Care

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nova Spine And Pain Care Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Nova Spine And Pain Care PC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Jessica Membrillo, AGACNP-BC
Nurse Practitioner
NPI 1235880634
145 RIVERSTONE TER STE 101
Canton, GA 30114
(770) 450-4807
✔ PECOSSame address
Chitra Ramasubbu, MD
Anesthesiology
NPI 1467614016
145 RIVERSTONE TER STE 101
Canton, GA 30114
(770) 450-4807
✔ PECOS✔ Accepts MedicareSame address
Arvind Senthil Kumar, MD
Pain Management
NPI 1588243372
145 RIVERSTONE TER STE 101
Canton, GA 30114
(770) 450-4807
✔ PECOS✔ Accepts MedicareSame address

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 11D2344433

Nova Spine And Pain Care PC · Lawrenceville, GA
Active · expires May 21, 2028
CLIA Number11D2344433
Laboratory TypePhysician Office
Certificate Effective DateMay 22, 2026
Certificate Expiration DateMay 21, 2028
Laboratory DirectorChitra Ramasubbu
Laboratory Phone(770) 450-4807
Laboratory LocationNova Spine And Pain Care PC600 Professional Drive, #170, Lawrenceville, GA 30046
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 11D2269926

Nova Spine And Pain Care · Alpharetta, GA
Expired · Oct 5, 2026
CLIA Number11D2269926
Laboratory TypePhysician Office
Certificate Effective DateOctober 6, 2024
Certificate Expiration DateOctober 5, 2026
Laboratory DirectorChitra Ramasubbu
Laboratory Phone(770) 450-4807
Laboratory LocationNova Spine And Pain Care3905 Brookside Parkway #203, Alpharetta, GA 30022
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 11D2268729

Nova Spine And Pain Care · Canton, GA
Expired · Sep 15, 2026
CLIA Number11D2268729
Laboratory TypePhysician Office
Certificate Effective DateSeptember 16, 2024
Certificate Expiration DateSeptember 15, 2026
Laboratory DirectorChitra Ramasubbu
Laboratory Phone(770) 450-4807
Laboratory LocationNova Spine And Pain Care145 Riverstone Terrace Suite 101, Canton, GA 30114
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Nova Spine And Pain Care PC's NPI number?

The NPI number for Nova Spine And Pain Care PC is 1225759236. It was assigned to this organization in the NPPES registry on September 7, 2022. The provider is doing business as Nova Spine and Pain Care.

Where is Nova Spine And Pain Care PC located?

Nova Spine And Pain Care PC is located at 145 Riverstone Ter Ste 101, Canton, GA 30114. The listed phone number is (770) 450-4807.

What is Nova Spine And Pain Care PC's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

Is Nova Spine And Pain Care PC enrolled in Medicare?

Yes. Nova Spine And Pain Care PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Nova Spine And Pain Care PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Nova Spine And Pain Care PC, in Anesthesiology, Nurse Practitioner and Pain Management. 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. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Nova Spine And Pain Care PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2344433) is associated with this NPI, valid through May 21, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Nova Spine And Pain Care PC was last updated on September 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.