SOUTHEAST PAIN & SPINE CARE SPECIALISTS, LLC
NPI 1558179689
Pain Medicine - Interventional Pain Medicine in Norfolk, VA

Q: What is Southeast Pain & Spine Care Specialists, LLC's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

Active since December 20, 2024

814 KEMPSVILLE RD STE 104, NORFOLK, VA 23502(757) 455-8887(757) 455-5051 Get Directions Write a Review

NPPES record last updated: February 5, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 5, 2025, Dec 20, 2024 (2 updates tracked since 2024).

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About Southeast Pain & Spine Care Specialists, Llc NPPES

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

SOUTHEAST PAIN & SPINE CARE SPECIALISTS, LLC (NPI 1558179689) is a healthcare organization registered as an interventional pain medicine in Norfolk, Virginia and active in the NPI registry since December 2024. The organization lists Brian Shanklin Weaver, Md, as its authorized official.

NPPES Registry Identity

NPI1558179689

Entity TypeOrganization

Primary Taxonomy208VP0014X

Legal Business NameSOUTHEAST PAIN & SPINE CARE SPECIALISTS, LLC

Location Address814 KEMPSVILLE RD STE 104Norfolk, VA 23502-4001

Mailing Address814 Kempsville Rd Ste 104Norfolk, VA 23502-4001

Phone(757) 455-8887

Fax(757) 455-5051

Organization SubpartNo

Authorized OfficialBrian Shanklin WeaverMd · (757) 455-8887

Enumeration DateDecember 20, 2024

Last NPPES UpdateFebruary 5, 20252 updates tracked since enumeration

NPPES CertifiedFebruary 5, 2025

✔ NPI 1558179689 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.

814 KEMPSVILLE RD STE 104, Norfolk, VA 23502

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Group Practice 1

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Southeast Pain & Spine Care Specialists, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Southeast Pain & Spine Care Specialists, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Brian Weaver, MD

Interventional Pain Management

NPI 1104988328

814 KEMPSVILLE RD SUITE 104
Norfolk, VA 23502

(757) 455-8887

✔ 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.

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 Southeast Pain & Spine Care Specialists, LLC's NPI number?

The NPI number for Southeast Pain & Spine Care Specialists, LLC is 1558179689. It was assigned to this organization in the NPPES registry on December 20, 2024.

Where is Southeast Pain & Spine Care Specialists, LLC located?

Southeast Pain & Spine Care Specialists, LLC is located at 814 Kempsville Rd Ste 104, Norfolk, VA 23502. The listed phone number is (757) 455-8887.

What is Southeast Pain & Spine Care Specialists, LLC's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

Is Southeast Pain & Spine Care Specialists, LLC enrolled in Medicare?

Yes. Southeast Pain & Spine Care Specialists, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southeast Pain & Spine Care Specialists, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Interventional Pain Management) reassigns their Medicare billing to Southeast Pain & Spine Care Specialists, 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.

When was this NPI record last updated?

The NPPES record for Southeast Pain & Spine Care Specialists, LLC was last updated on February 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.