SOUTHERN INTERVENTIONAL PAIN CENTER LLC
NPI 1306225479
Pain Medicine - Interventional Pain Medicine in Thomasville, GA

Q: What is Southern Interventional Pain Center LLC's specialty?

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

Active since May 22, 2015

615 S HANSELL ST, THOMASVILLE, GA 31792(229) 226-2234 Get Directions Write a Review

NPPES record last updated: January 31, 2020. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jan 31, 2020, Feb 27, 2019 (2 updates tracked since 2019).

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About Southern Interventional Pain Center Llc NPPES

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

SOUTHERN INTERVENTIONAL PAIN CENTER LLC (NPI 1306225479) is a healthcare organization registered as an interventional pain medicine in Thomasville, Georgia and active in the NPI registry since May 2015. The organization maintains 2 additional practice locations and lists Maximilian Shokat, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1306225479

Entity TypeOrganization

Primary Taxonomy208VP0014X

Legal Business NameSOUTHERN INTERVENTIONAL PAIN CENTER LLC

Location Address615 S HANSELL STThomasville, GA 31792-5556

Mailing Address615 S Hansell StThomasville, GA 31792-5556 · (229) 226-2234

Phone(229) 226-2234

Organization SubpartNo

Authorized OfficialMaximilian ShokatMedical Director · (229) 226-2234

Enumeration DateMay 22, 2015

Last NPPES UpdateJanuary 31, 20202 updates tracked since enumeration

✔ NPI 1306225479 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

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 ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X

615 S HANSELL ST, Thomasville, GA 31792

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Secondary Practice Locations 2

Location 12056 Centre Pointe LnTallahassee, FL 32308-4300 · Phone (850) 404-9400 · Fax (855) 313-1262

Location 2619 SW Baya Dr Ste 102Lake City, FL 32025-4204 · Phone (386) 361-3400 ext. 38636 · Fax (855) 313-1262

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., Ambetter from Absolute Total Care, Ambetter Health and more.Insurance ›

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.

MR. WILLIAM L DOUGHERTY PAC

Physician Assistant