PAIN & SPINE PHYSICIANS SURGERY CENTER LLC
NPI 1477047199
Clinic/Center - Ambulatory Surgical in Alpharetta, GA

Active since June 16, 2018CLIA 11D2157975 · Waiver
3333 OLD MILTON PKWY STE 430, ALPHARETTA, GA 30005(770) 391-3979(770) 391-0020 Get Directions Write a Review

NPPES record last updated: June 11, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 11, 2019, Jun 16, 2018 (2 updates tracked since 2018).

About Pain & Spine Physicians Surgery Center Llc NPPES

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

PAIN & SPINE PHYSICIANS SURGERY CENTER LLC (NPI 1477047199) is a healthcare organization registered as an ambulatory surgical in Alpharetta, Georgia and active in the NPI registry since June 2018. The organization holds a CLIA Waiver certificate valid through November 18, 2026 and lists Virginia Minicozzi, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1477047199
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NamePAIN & SPINE PHYSICIANS SURGERY CENTER LLC
Location Address3333 OLD MILTON PKWY STE 430Alpharetta, GA 30005-4437
Mailing Address3333 Old Milton Pkwy Ste 430Alpharetta, GA 30005-4437 · (770) 391-3979 · Fax (770) 391-0020
Fax(770) 391-0020
Organization SubpartNo
Authorized OfficialVirginia MinicozziPractice Manager · (770) 391-3979
Enumeration DateJune 16, 2018
Last NPPES UpdateJune 11, 20192 updates tracked since enumeration
NPI 1477047199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
3333 OLD MILTON PKWY STE 430, Alpharetta, GA 30005

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

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 11D2157975

Pain And Spine Physicians Surgery Center, LLC · Alpharetta, GA
Active · expires Nov 18, 2026
CLIA Number11D2157975
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateNovember 19, 2024
Certificate Expiration DateNovember 18, 2026
Laboratory DirectorMohammed S. Wada
Laboratory Phone(770) 391-3979
Laboratory LocationPain And Spine Physicians Surgery Center, LLC3333 Old Milton Parkway, Suite 430, Alpharetta, GA 30005
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 14

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection of substance into lower spine canal using imaging guidance 62323
This procedure involves injecting a substance into your lower spine canal, guided by real-time images. It's done to diagnose or treat various conditions. You may feel slight discomfort, but it's generally safe and can provide valuable information for your treatment plan.
399 services260 patients
Injection of lower or sacral spine facet joint using imaging guidance, single level 64493
This procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.
305 services90 patients
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483
This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.
302 services138 patients
Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography G0260
This procedure involves injecting medicine into the sacroiliac joint, located in the lower back. The aim is to reduce inflammation and pain. Anesthetic is used for immediate pain relief, while a steroid helps decrease inflammation over time. Arthrography, a type of imaging, may be used for precision.
267 services128 patients
Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint 64635
This procedure involves using imaging guidance to accurately target and destroy nerves in the lower or sacral spinal facet joint. It's done to relieve chronic back pain. The process is safe and usually effective.
253 services122 patients
Injection of substance into middle or upper spine canal using imaging guidance 62321
This procedure involves injecting a substance into your middle or upper spine canal. It's performed under imaging guidance to ensure accuracy. The substance can help diagnose or treat various conditions, providing relief from symptoms.
199 services140 patients

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 Pain & Spine Physicians Surgery Center LLC's NPI number?

The NPI number for Pain & Spine Physicians Surgery Center LLC is 1477047199. It was assigned to this organization in the NPPES registry on June 16, 2018.

Where is Pain & Spine Physicians Surgery Center LLC located?

Pain & Spine Physicians Surgery Center LLC is located at 3333 Old Milton Pkwy Ste 430, Alpharetta, GA 30005. The listed phone number is (770) 391-3979.

What is Pain & Spine Physicians Surgery Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Pain & Spine Physicians Surgery Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2157975) is associated with this NPI, valid through November 18, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Pain & Spine Physicians Surgery Center LLC accept?

Health plans from Mending Health list Pain & Spine Physicians Surgery 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 Pain & Spine Physicians Surgery Center LLC was last updated on June 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.