SOUTHERN INJURY SPECIALISTS LLC
NPI 1508648445
Pain Medicine - Pain Medicine in Gainesville, GA
- Organization
- Pain Medicine
- Pain Medicine
- CLIA Number: 11D2296712
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 01-03-2026
About SOUTHERN INJURY SPECIALISTS LLC
This page provides the complete NPI Profile along with additional information for Southern Injury Specialists Llc, a provider established in Gainesville, Georgia operating as a Pain Medicine. The healthcare provider is registered in the NPI registry with number 1508648445 assigned on October 2023. The practitioner's primary taxonomy code is 208VP0000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Southern Injury Specialists Llc. The authorized official of this NPI record is Ankur Patel Do (Owner)
- NPI
- 1508648445 Verify this NPI
- Provider Legal Name
- SOUTHERN INJURY SPECIALISTS LLC
- Other Organization Name
- SOUTHERN INJURY SPECIALISTS LLC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 601 BROAD ST SE STE A GAINESVILLE, GA 30501
- Location Phone
- (678) 971-4167
- Location Fax
- (833) 989-2501
- Mailing Address
- 601 BROAD ST SE STE A GAINESVILLE, GA 30501
- Mailing Phone
- (678) 971-4167
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-16-2023
- Last Update Date
- 10-17-2023
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pain Medicine Pain Medicine
- Taxonomy Code
- 208VP0000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient's pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 11D2296712
- Facility Type
- Physician Office
- Certificate Effective Date
- January 04, 2024
- Certificate Expiration Date
- January 03, 2026
- Laboratory Director
- ANKUR PATEL
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Southern Injury Specialists Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1508648445, enumerated as an "organization" on October 16, 2023.
The provider is located at 601 BROAD ST SE STE A GAINESVILLE, GA 30501 and the phone number is (678) 971-4167.
Pain Medicine with taxonomy code 208VP0000X.
