SOUTHERN INTERVENTIONAL PAIN CENTER LLC
NPI 1306225479
Pain Medicine - Interventional Pain Medicine in Thomasville, GA
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
Specialties & Licenses 2
Secondary Practice Locations 2
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Southern Interventional Pain Center Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Southern Interventional Pain Center LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.
Clinicians, nearest first (4)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Interventional Pain Center LLC's NPI number?
The NPI number for Southern Interventional Pain Center LLC is 1306225479. It was assigned to this organization in the NPPES registry on May 22, 2015.
Where is Southern Interventional Pain Center LLC located?
Southern Interventional Pain Center LLC is located at 615 S Hansell St, Thomasville, GA 31792. The listed phone number is (229) 226-2234.
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.
Is Southern Interventional Pain Center LLC enrolled in Medicare?
Yes. Southern Interventional Pain Center LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Southern Interventional Pain Center LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Southern Interventional Pain Center LLC. 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. The largest specialties are Nurse Practitioner (3) and Pain Management (1). Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Southern Interventional Pain Center LLC accept?
Health plans from Alliant Health Plans, Inc. and Capital Health Plan list Southern Interventional Pain Center 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 Southern Interventional Pain Center LLC was last updated on January 31, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Southern Interventional Pain Center Llc · NPI 1306225479
Interventional Pain Medicine organization in Thomasville, Georgia. Organization record, active in the CMS NPPES registry since May 22, 2015.
## Identity
- **NPI:** 1306225479 (Entity type: Organization)
- **Enumerated:** May 22, 2015
- **Primary specialty:** Pain Medicine - Interventional Pain Medicine · taxonomy 208VP0014X
- **Organization subpart:** No
- **Authorized official:** Maximilian Shokat, MEDICAL DIRECTOR
## Practice location
- **Address:** 615 S HANSELL ST, Thomasville, GA 31792-5556
- **Phone:** (229) 226-2234
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (3), Pain Management (1); 3 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 31, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1306225479) · Data from the CMS NPPES public registry.