ALIGN SPINE AND PAIN INSTITUTE LLC
NPI 1457011199
Anesthesiology - Pain Medicine in Roswell, GA

Q: What is Align Spine And Pain Institute LLC's NPI number?

The NPI number for Align Spine And Pain Institute LLC is 1457011199. It was assigned to this organization in the NPPES registry on December 21, 2021. The provider is doing business as Align Spine and Joint Specialists LLC.

Q: What is Align Spine And Pain Institute LLC's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

Active since December 21, 2021CLIA Certified · 2 labs

960 HOLCOMB BRIDGE RD STE 150, ROSWELL, GA 30076(770) 988-7246(770) 988-7247 Get Directions Write a Review

NPPES record last updated: July 11, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 11, 2025, May 30, 2025, Jan 17, 2023 and 3 more (6 updates tracked since 2021).

On this page

About Align Spine And Pain Institute Llc NPPES

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

ALIGN SPINE AND PAIN INSTITUTE LLC (NPI 1457011199), doing business as Align Spine And Joint Specialists Llc, is a healthcare organization registered as a pain medicine in Roswell, Georgia and active in the NPI registry since December 2021. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Duluth, and lists Joseph A Kundukulam, Physician, as its authorized official.

NPPES Registry Identity

NPI1457011199

Entity TypeOrganization

Primary Taxonomy207LP2900X

Legal Business NameALIGN SPINE AND PAIN INSTITUTE LLC

Location Address960 HOLCOMB BRIDGE RD STE 150Roswell, GA 30076-1963

Mailing Address960 Holcomb Bridge Rd Ste 150Roswell, GA 30076-1963 · (770) 988-7246 · Fax (770) 988-7247

Phone(770) 988-7246

Fax(770) 988-7247

Organization SubpartNo

Authorized OfficialJoseph A KundukulamPhysician · (770) 988-7246

Enumeration DateDecember 21, 2021

Last NPPES UpdateJuly 11, 20256 updates tracked since enumeration

NPPES CertifiedJuly 11, 2025

✔ NPI 1457011199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207LP2900X

Definition

An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.

960 HOLCOMB BRIDGE RD STE 150, Roswell, GA 30076

Open in Google Maps ↗

Other Names 1

Doing Business AsAlign Spine And Joint Specialists Llc

Secondary Practice Location 1

Location 13400 McClure Bridge Rd, Building A, Suite ADuluth, GA 30096 · Phone (770) 988-7246

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

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Align Spine And Pain Institute Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateGeorgiaEnrollment IDO20220228000189Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027

Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

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

Clinicians, nearest first (2)

Tom Ju, MD

Pain Management

NPI 1508201393

960 HOLCOMB BRIDGE RD STE 150
Roswell, GA 30076

(770) 988-7246

✔ PECOS✔ Accepts MedicareSame address

Joseph Kundukulam, MD

Pain Management

NPI 1871938670

960 HOLCOMB BRIDGE RD STE 150
Roswell, GA 30076

(770) 988-7246

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D2265504

Align Spine And Pain Institute, LLC · Roswell, GA

Active · expires Jul 27, 2028

CLIA Number11D2265504

Laboratory TypePhysician Office

Certificate Effective DateJuly 28, 2026

Certificate Expiration DateJuly 27, 2028

Laboratory DirectorJoseph A. Kundukulam

Laboratory Phone(770) 988-7246

Laboratory LocationAlign Spine And Pain Institute, LLC960 Holcomb Bridge Road Suite 150, Roswell, GA 30076

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 11D2331955

Align Spine And Joint Specialists, LLC · Duluth, GA

Active · expires Oct 9, 2027

CLIA Number11D2331955

Laboratory TypePhysician Office

Certificate Effective DateOctober 10, 2025

Certificate Expiration DateOctober 9, 2027

Laboratory DirectorJoseph A. Kundukulam

Laboratory Phone(770) 988-7246

Laboratory LocationAlign Spine And Joint Specialists, LLC3400 Mcclure Bridge Road, Building A, Suite A, Duluth, GA 30096

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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 Align Spine And Pain Institute LLC's NPI number?

The NPI number for Align Spine And Pain Institute LLC is 1457011199. It was assigned to this organization in the NPPES registry on December 21, 2021. The provider is doing business as Align Spine and Joint Specialists LLC.

Where is Align Spine And Pain Institute LLC located?

Align Spine And Pain Institute LLC is located at 960 Holcomb Bridge Rd Ste 150, Roswell, GA 30076. The listed phone number is (770) 988-7246.

What is Align Spine And Pain Institute LLC's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

Is Align Spine And Pain Institute LLC enrolled in Medicare?

Yes. Align Spine And Pain Institute LLC is registered in the Medicare PECOS enrollment system.

When is Align Spine And Pain Institute LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Georgia, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Align Spine And Pain Institute LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Pain Management, reassign their Medicare billing to Align Spine And Pain Institute 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Align Spine And Pain Institute LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Align Spine And Pain Institute LLC was last updated on July 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.