INTERVENTIONAL PAIN INSTITUTE LLC
NPI 1508444837
Pain Medicine - Interventional Pain Medicine in Albany, GA
About Interventional Pain Institute Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
INTERVENTIONAL PAIN INSTITUTE LLC (NPI 1508444837) is a healthcare organization registered as an interventional pain medicine in Albany, Georgia and active in the NPI registry since March 2021. The organization holds a CLIA Waiver certificate valid through April 20, 2027 and lists Willie Michael Fussell, Physician, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Accepted Insurance
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)
Interventional Pain Institute Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
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.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Interventional Pain Institute LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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
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 11D2221358
Interventional Pain Institute LLC · Albany, GAFrequently 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 Interventional Pain Institute LLC's NPI number?
The NPI number for Interventional Pain Institute LLC is 1508444837. It was assigned to this organization in the NPPES registry on March 30, 2021.
Where is Interventional Pain Institute LLC located?
Interventional Pain Institute LLC is located at 3200 Gillionville Rd, Albany, GA 31721. The listed phone number is (229) 405-2470.
What is Interventional Pain Institute LLC's specialty?
The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.
Is Interventional Pain Institute LLC enrolled in Medicare?
Yes. Interventional Pain Institute LLC is registered in the Medicare PECOS enrollment system.
When is Interventional 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 November 30, 2026. 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 Interventional Pain Institute LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Physical Medicine and Rehabilitation) reassigns their Medicare billing to Interventional 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Interventional Pain Institute LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 11D2221358) is associated with this NPI, valid through April 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Interventional Pain Institute LLC accept?
Health plans from Alliant Health Plans, Inc. list Interventional Pain Institute 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 Interventional Pain Institute LLC was last updated on October 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Interventional Pain Institute Llc · NPI 1508444837
Interventional Pain Medicine organization in Albany, Georgia. Organization record, active in the CMS NPPES registry since March 30, 2021.
## Identity
- **NPI:** 1508444837 (Entity type: Organization)
- **Enumerated:** March 30, 2021
- **Primary specialty:** Pain Medicine - Interventional Pain Medicine · taxonomy 208VP0014X
- **Organization subpart:** No
- **Authorized official:** Willie Fussell, PHYSICIAN
## Practice location
- **Address:** 3200 GILLIONVILLE RD, Albany, GA 31721-2815
- **Phone:** (229) 405-2470 · **Fax:** (229) 405-2473
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, Georgia, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Physical Medicine and Rehabilitation) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 26, 2022
- **Other identifiers:** Other GA57620 (GA)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1508444837) · Data from the CMS NPPES public registry.