SOUTHERN INTERVENTIONAL PAIN CENTER LLC
NPI 1407315948
Pain Medicine - Interventional Pain Medicine in Tallahassee, FL

Active since March 14, 2019
1931 WELBY WAY STE 4, TALLAHASSEE, FL 32308(850) 404-9400(855) 313-1262 Get Directions Write a Review

NPPES record last updated: January 31, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 31, 2020, Oct 17, 2019, Mar 14, 2019 (3 updates tracked since 2019).

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 1407315948) is a healthcare organization registered as an interventional pain medicine in Tallahassee, Florida and active in the NPI registry since March 2019. The organization lists Maximilian Shahryar Shokat, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1407315948
Entity TypeOrganization
Primary Taxonomy208VP0014X
Legal Business NameSOUTHERN INTERVENTIONAL PAIN CENTER LLC
Location Address1931 WELBY WAY STE 4Tallahassee, FL 32308-4473
Mailing Address615 S Hansell StThomasville, GA 31792-5556 · (229) 226-2234 · Fax (229) 226-2237
Fax(855) 313-1262
Organization SubpartYes
Authorized OfficialMaximilian Shahryar ShokatManaging Member · (229) 226-2234
Enumeration DateMarch 14, 2019
Last NPPES UpdateJanuary 31, 20203 updates tracked since enumeration
NPI 1407315948 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
1931 WELBY WAY STE 4, Tallahassee, FL 32308

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
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

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 1407315948. It was assigned to this organization in the NPPES registry on March 14, 2019.

Where is Southern Interventional Pain Center LLC located?

Southern Interventional Pain Center LLC is located at 1931 Welby Way Ste 4, Tallahassee, FL 32308. The listed phone number is (850) 404-9400.

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.

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.