SOUTHERN PAIN & DIAGNOSTICS INSTITUTE
NPI 1336232958
Pain Medicine - Interventional Pain Medicine in Peachtree City, GA

Q: What is Southern Pain Institute, PC's NPI number?

The NPI number for Southern Pain Institute, PC is 1336232958. It was assigned to this organization in the NPPES registry on October 2, 2006. The provider is also known as Southern Pain & Diagnostics Institute.

Q: What is Southern Pain Institute, PC's specialty?

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

Active since October 02, 2006

1975 HIGHWAY 54 W, SUITE 100, PEACHTREE CITY, GA 30269(770) 632-3730(770) 632-3731 Get Directions Write a Review

NPPES record last updated: July 27, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Southern Pain & Diagnostics Institute NPPES

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

SOUTHERN PAIN & DIAGNOSTICS INSTITUTE (NPI 1336232958) is a healthcare organization registered as an interventional pain medicine in Peachtree City, Georgia and active in the NPI registry since October 2006. The organization lists Anthony Thaddeus Clavo, President, as its authorized official.

NPPES Registry Identity

NPI1336232958

Entity TypeOrganization

Primary Taxonomy208VP0014X

Legal Business NameSOUTHERN PAIN INSTITUTE, PC

Location Address1975 HIGHWAY 54 W, SUITE 100Peachtree City, GA 30269-4794

Mailing Address1975 Highway 54 W, Suite 100Peachtree City, GA 30269-4794 · (770) 632-3730 · Fax (770) 632-3731

Phone(770) 632-3730

Fax(770) 632-3731

Organization SubpartNo

Authorized OfficialAnthony Thaddeus ClavoPresident · (770) 632-3730

Enumeration DateOctober 2, 2006

Last NPPES UpdateJuly 27, 2015

✔ NPI 1336232958 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians

Taxonomy Code208VP0014X

License✔ Licensed in GA · 045425

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.

1975 HIGHWAY 54 W, Peachtree City, GA 30269

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Other Names 1

Other NameSouthern Pain & Diagnostics Institute

Other Identifiers 1

Medicare UPING72848GA

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

Other Providers at the Same Location NPPES 10

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

DR. WILLIAM KEVIN PEARSON DPM

Podiatrist (Foot & Ankle Surgery)

1975 HIGHWAY 54 W, SUITE 205
PEACHTREE CITY, GA 30269

Fayette County (678) 561-9000

MRS. LORENE GREENE APN

Nurse Practitioner (Family)

1975 HIGHWAY 54 W, SUITE 150
PEACHTREE CITY, GA 30269

Fayette County (770) 786-5000

DR. JOSEPH D GIOVINCO DPM

Podiatrist (Foot & Ankle Surgery)

1975 HIGHWAY 54 W, STE 200
PEACHTREE CITY, GA 30269

Fayette County (770) 487-6716

DR. BHAVIN VIJAY MEHTA DPM

Podiatrist (Foot & Ankle Surgery)

1975 HIGHWAY 54 W, STE 205
PEACHTREE CITY, GA 30269

Fayette County (678) 561-9000

DR. FRANKIE JUNIOR HUGH WHITE M.D

Family Medicine

1975 HIGHWAY 54 W, SUITE 150
PEACHTREE CITY, GA 30269

Fayette County (770) 486-5000

DR. MICHAEL F DOMBEK DPM

Podiatrist (Foot & Ankle Surgery)

1975 HIGHWAY 54 W, STE 205
PEACHTREE CITY, GA 30269

Fayette County (678) 561-9000

SHANNON LOTUS ASHLEY M.D.

Family Medicine

1975 HIGHWAY 54 W, SUITE 150
PEACHTREE CITY, GA 30269

Fayette County (770) 486-5000

DR. SIDHARTH V. REDDY DPM

Podiatrist (Foot & Ankle Surgery)

1975 HIGHWAY 54 W, SUITE 205
PEACHTREE CITY, GA 30269

Fayette County (678) 561-9000

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, PC's NPI number?

The NPI number for Southern Pain Institute, PC is 1336232958. It was assigned to this organization in the NPPES registry on October 2, 2006. The provider is also known as Southern Pain & Diagnostics Institute.

Where is Southern Pain Institute, PC located?

Southern Pain Institute, PC is located at 1975 Highway 54 W Suite 100, Peachtree City, GA 30269. The listed phone number is (770) 632-3730.

What is Southern Pain Institute, PC's specialty?

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

When was this NPI record last updated?

The NPPES record for Southern Pain Institute, PC was last updated on July 27, 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.