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SOUTHERN PAIN AND SPINE ASSOCIATES LLC
NPI 1336744770
Pain Medicine - Interventional Pain Medicine in Gainesville, GA

Active since December 03, 2020
601 BROAD ST SE STE B, GAINESVILLE, GA 30501(678) 971-4167(833) 989-2501 Get Directions Write a Review

NPPES record last updated: February 20, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 7, 2025, Jul 1, 2025, Dec 7, 2023 and 4 more (7 updates tracked since 2020).

About Southern Pain And Spine Associates Llc NPPES

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

SOUTHERN PAIN AND SPINE ASSOCIATES LLC (NPI 1336744770) is a healthcare organization registered as an interventional pain medicine in Gainesville, Georgia and active in the NPI registry since December 2020. The organization maintains 7 additional practice locations and lists Ankur Bharat Patel, Ceo/ Owner Partner, as its authorized official.

NPPES Registry Identity

NPI1336744770
Entity TypeOrganization
Primary Taxonomy208VP0014X
Legal Business NameSOUTHERN PAIN AND SPINE ASSOCIATES LLC
Location Address601 BROAD ST SE STE BGainesville, GA 30501-3718
Mailing Address1233 Highway 54 W Ste 200Fayetteville, GA 30214-4542 · (678) 971-4167 · Fax (883) 428-2629
Phone(678) 971-4167
Fax(833) 989-2501
Organization SubpartNo
Authorized OfficialAnkur Bharat PatelCeo/ Owner Partner · (678) 971-4167
Enumeration DateDecember 3, 2020
Last NPPES UpdateFebruary 20, 20267 updates tracked since enumeration
NPPES CertifiedFebruary 20, 2026
✔ NPI 1336744770 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ 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 ListedAnesthesiologyTaxonomy 207L00000X
Also ListedClinic/CenterTaxonomy 261Q00000X
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
601 BROAD ST SE STE B, Gainesville, GA 30501
Open in Google Maps ↗

Secondary Practice Locations 7

Location 13579 Highway 138 SE Ste 204Stockbridge, GA 30281-6807 · Phone (678) 971-4167 · Fax (833) 428-2634
Location 21150 Hammond Drive, Bldg E, Suite 40Atlanta, GA 30328 · Phone (678) 971-4167 · Fax (833) 972-4825
Location 31101 Old Philadelphia Rd Ste G100Jasper, GA 30143-4044 · Phone (678) 971-4167 · Fax (706) 253-7060
Location 41500 Oglethorpe Ave Bldg 500 Ste BAthens, GA 30606-2184 · Phone (678) 971-4167 · Fax (678) 971-4168
Location 53231 Hwy 34E Ste CNewnan, GA 30265 · Phone (678) 971-4167 · Fax (833) 989-2501
Location 61800 Peachtree St NW Ste 750Atlanta, GA 30309-2530 · Phone (678) 971-4167 · Fax (833) 428-2599
Location 71233 Highway 54 W Ste 200Fayetteville, GA 30214-4542 · Phone (678) 971-4167 · Fax (833) 428-2629

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 Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.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 Pain And Spine Associates Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

18

Medicare enrollment records show 18 clinicians reassign Medicare billing to Southern Pain And Spine Associates LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians by Medicare Specialty 7

Nurse Practitioner5
Interventional Pain Management4
Physical Medicine and Rehabilitation3
Interventional Radiology2
Pain Management2
Anesthesiology1
Internal Medicine1

Clinicians, nearest first (18)

Margaret Riso, M.D.
Pain Management
NPI 1417337320
601 BROAD ST SE STE B
Gainesville, GA 30501
(678) 971-4167
✔ PECOS✔ Accepts MedicareSame address
Ankur Patel, D.O.
Interventional Pain Management
NPI 1780971994
601 BROAD ST SE STE B
Gainesville, GA 30501
(678) 971-4167
✔ PECOS✔ Accepts MedicareSame address
Michael Schmidt, MD
Physical Medicine and Rehabilitation
NPI 1659909760
1500 OGLETHORPE AVE STE 500A
Athens, GA 30606
(678) 971-4167
✔ PECOS✔ Accepts Medicare32 mi
Jordan Tate, M.D., MPH
Physical Medicine and Rehabilitation
NPI 1508008079
1101 OLD PHILADELPHIA RD STE G
Jasper, GA 30143
(678) 971-4167
✔ PECOS✔ Accepts Medicare38 mi
Emily Cummins, NP-C
Nurse Practitioner
NPI 1205078730
1101 OLD PHILADELPHIA RD STE G100
Jasper, GA 30143
(678) 971-4167
✔ PECOS✔ Accepts Medicare38 mi
Rodrigo Duralde, M.D.
Interventional Pain Management
NPI 1265484208
1800 PEACHTREE ST NW SUITE 400
Atlanta, GA 30309
(404) 351-7654
✔ PECOS✔ Accepts Medicare47 mi
Cameron Griffin, FNP-C
Nurse Practitioner
NPI 1962027714
1800 PEACHTREE ST NW STE 750
Atlanta, GA 30309
(404) 351-7654
✔ PECOS✔ Accepts Medicare47 mi
Nathaniel Pleasant, MD
Interventional Pain Management
NPI 1881999563
1800 PEACHTREE ST NW STE 750
Atlanta, GA 30309
(404) 354-1525
✔ PECOS✔ Accepts Medicare47 mi
Stephanie Stagner, NP
Nurse Practitioner
NPI 1235389446
1800 PEACHTREE ST SUITE 400
Atlanta, GA 30309
(678) 904-5413
✔ PECOS✔ Accepts Medicare47 mi
Mayson Callaway, M.D.
Anesthesiology
NPI 1841653136
1800 PEACHTREE ST NW STE 750
Atlanta, GA 30309
(404) 351-7654
✔ PECOS✔ Accepts Medicare47 mi
Jignesh Gandhi, M.D.
Interventional Pain Management
NPI 1225088198
1800 PEACHTREE ST NE SUITE 400
Atlanta, GA 30309
(404) 351-7654
✔ PECOS✔ Accepts Medicare47 mi
Evesha Kenlyn
Internal Medicine
NPI 1477012656
49 JESSE HILL JR DR SE
Atlanta, GA 30303
(404) 778-7777
✔ PECOS✔ Accepts Medicare50 mi
Nikita Patel, ARNP
Nurse Practitioner
NPI 1962985028
1365 ROCK QUARRY RD STE 202
Stockbridge, GA 30281
(770) 771-6580
✔ PECOS✔ Accepts Medicare59 mi
David Isaac, FNP-C
Nurse Practitioner
NPI 1093765067
11 UPPER RIVERDALE RD
Riverdale, GA 30274
(770) 991-8000
✔ PECOS✔ Accepts Medicare60 mi
Sushanth Boda, DO
Pain Management
NPI 1780114975
3231 HIGHWAY 34 E STE C
Newnan, GA 30265
(678) 971-4167
✔ PECOS✔ Accepts Medicare79 mi
Alexandra Moreira, MD
Physical Medicine and Rehabilitation
NPI 1134744238
27401 W HIGHWAY 22 STE 125
Barrington, IL 60010
(847) 381-0388
✔ PECOS✔ Accepts Medicare593 mi
Abieyuwa Eweka, M.D.
Interventional Radiology
NPI 1144647272
1400 NW 12TH AVE
Miami, FL 33136
(470) 427-0624
✔ PECOS✔ Accepts Medicare625 mi
Keerthi Prasad, M.D.
Interventional Radiology
NPI 1043518186
8611 HILLCREST AVE STE 200B
Dallas, TX 75225
(469) 399-5672
✔ PECOS✔ Accepts Medicare754 mi

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 Pain And Spine Associates LLC's NPI number?

The NPI number for Southern Pain And Spine Associates LLC is 1336744770. It was assigned to this organization in the NPPES registry on December 3, 2020.

Where is Southern Pain And Spine Associates LLC located?

Southern Pain And Spine Associates LLC is located at 601 Broad St SE Ste B, Gainesville, GA 30501. The listed phone number is (678) 971-4167.

What is Southern Pain And Spine Associates LLC's specialty?

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

Is Southern Pain And Spine Associates LLC enrolled in Medicare?

Yes. Southern Pain And Spine Associates LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southern Pain And Spine Associates LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 18 clinicians in 7 Medicare specialties reassign their Medicare billing to Southern Pain And Spine Associates 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 (5), Interventional Pain Management (4) and Physical Medicine and Rehabilitation (3). Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Southern Pain And Spine Associates LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 2 other insurers list Southern Pain And Spine Associates 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 Pain And Spine Associates LLC was last updated on February 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.