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REGENERATIVE SPINE AND PAIN SPECIALISTS
NPI 1578193355
Pain Medicine - Interventional Pain Medicine in Fayetteville, GA

Active since January 22, 2020CLIA Certified · 2 labs
874 LANIER AVE W STE 250, FAYETTEVILLE, GA 30214(404) 618-0995 Get Directions Write a Review

NPPES record last updated: August 22, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Aug 22, 2024, Jul 1, 2020, Jan 22, 2020 (3 updates tracked since 2020).

About Regenerative Spine And Pain Specialists NPPES

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

REGENERATIVE SPINE AND PAIN SPECIALISTS (NPI 1578193355) is a healthcare organization registered as an interventional pain medicine in Fayetteville, Georgia and active in the NPI registry since January 2020. The organization holds 2 active CLIA laboratory certificates, maintains 2 additional practice locations, and lists Zwade Marshall, Owner, as its authorized official.

NPPES Registry Identity

NPI1578193355
Entity TypeOrganization
Primary Taxonomy208VP0014X
Legal Business NameREGENERATIVE SPINE AND PAIN SPECIALISTS
Location Address874 LANIER AVE W STE 250Fayetteville, GA 30214-7662
Mailing Address874 Lanier Ave W Ste 250Fayetteville, GA 30214-7662 · (404) 618-0995
Phone(404) 618-0995
Organization SubpartYes
Authorized OfficialZwade MarshallOwner · (404) 618-0995
Enumeration DateJanuary 22, 2020
Last NPPES UpdateAugust 22, 20243 updates tracked since enumeration
NPPES CertifiedAugust 22, 2024
✔ NPI 1578193355 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.
874 LANIER AVE W STE 250, Fayetteville, GA 30214
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Secondary Practice Locations 2

Location 1371 E Paces Ferry Rd NE Ste 802Atlanta, GA 30305-3292 · Phone (404) 618-0995 · Fax (404) 618-0995
Location 23939 Roswell Rd Ste 240Marietta, GA 30062-6285 · Phone (404) 618-0995 ext. 1005

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA 3

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 11D2255871

Regenerative Spine And Pain Specialists · Atlanta, GA
Active · expires Mar 17, 2028
CLIA Number11D2255871
Laboratory TypePhysician Office
Certificate Effective DateMarch 18, 2026
Certificate Expiration DateMarch 17, 2028
Laboratory DirectorZwade Marshall
Laboratory Phone(404) 618-0995
Laboratory LocationRegenerative Spine And Pain Specialists371 E Paces Ferry Road, NE, Suite 802, Atlanta, GA 30305
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 11D2312825

Regenerative Spine And Pain Specialists · Marietta, GA
Active · expires Oct 17, 2026
CLIA Number11D2312825
Laboratory TypePhysician Office
Certificate Effective DateOctober 18, 2024
Certificate Expiration DateOctober 17, 2026
Laboratory DirectorZwade Marshall
Laboratory Phone(404) 618-0995
Laboratory LocationRegenerative Spine And Pain Specialists3939 Roswell Road, Suite 240, Marietta, GA 30062
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Accreditation 11D2192321

Regenerative Spine And Pain Specialists · Fayetteville, GA
Expired · Sep 26, 2026
CLIA Number11D2192321
Laboratory TypePhysician Office
Certificate Effective DateSeptember 27, 2024
Certificate Expiration DateSeptember 26, 2026
Laboratory DirectorDr. Evan S. Holzberg
Laboratory Phone(770) 597-1546
Laboratory LocationRegenerative Spine And Pain Specialists874 W Lanier Avenue Suite 250, Fayetteville, GA 30214
CLIA data matches this NPI record on: Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JENNIFER SUN XIONG MD
Anesthesiology (Pain Medicine)
874 LANIER AVE W STE 250
FAYETTEVILLE, GA 30214
Fayette County (404) 618-0995
ZWADE J MARSHALL M.D.
Pain Medicine (Interventional Pain Medicine)
874 LANIER AVE W STE 250
FAYETTEVILLE, GA 30214
Fayette County (404) 618-0995

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 Regenerative Spine And Pain Specialists's NPI number?

The NPI number for Regenerative Spine And Pain Specialists is 1578193355. It was assigned to this organization in the NPPES registry on January 22, 2020.

Where is Regenerative Spine And Pain Specialists located?

Regenerative Spine And Pain Specialists is located at 874 Lanier Ave W Ste 250, Fayetteville, GA 30214. The listed phone number is (404) 618-0995.

What is Regenerative Spine And Pain Specialists's specialty?

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

Does Regenerative Spine And Pain Specialists 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.

What insurance does Regenerative Spine And Pain Specialists accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Regenerative Spine And Pain Specialists 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 Regenerative Spine And Pain Specialists was last updated on August 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.