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

Active since January 22, 2020CLIA 11D2255871 · Waiver
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 25, 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 a CLIA Waiver certificate valid through March 17, 2028, 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
Open in Google Maps ↗

Secondary Practice Locations 2

Location 13939 Roswell Rd Ste 240Marietta, GA 30062-6285 · Phone (404) 618-0995 ext. 1005
Location 2371 E Paces Ferry Rd NE Ste 802Atlanta, GA 30305-3292 · Phone (404) 618-0995 · Fax (404) 618-0995

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..Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Regenerative Spine And Pain Specialists is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

13

Medicare enrollment records show 13 clinicians reassign Medicare billing to Regenerative Spine And Pain Specialists, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 6

Certified Registered Nurse Anesthetist (CRNA)3
Diagnostic Radiology3
Interventional Radiology2
Nurse Practitioner2
Pain Management2
Physical Medicine and Rehabilitation1

Clinicians, nearest first (13)

Jennifer Xiong, MD
Pain Management
NPI 1497250591
874 LANIER AVE W STE 250
Fayetteville, GA 30214
(404) 618-0995
✔ PECOS✔ Accepts MedicareSame address
Zwade Marshall, M.D.
Pain Management
NPI 1750671400
874 LANIER AVE W STE 250
Fayetteville, GA 30214
(404) 618-0995
✔ PECOS✔ Accepts Medicare0.1 mi
Ara Chitchyan, MD
Physical Medicine and Rehabilitation
NPI 1801968961
101 MCWILLIAMS DR
Peachtree City, GA 30269
(770) 570-9792
✔ PECOS✔ Accepts Medicare7.5 mi
Charles Gilliland, M.D.
Interventional Radiology
NPI 1558584086
1133 EAGLES LANDING PKWY
Stockbridge, GA 30281
(770) 607-7339
✔ PECOS✔ Accepts Medicare15 mi
Antigone Constantine
Certified Registered Nurse Anesthetist (CRNA)
NPI 1912579608
3153 FOUNDERS WAY
Douglasville, GA 30135
(678) 761-0569
✔ PECOS✔ Accepts Medicare21 mi
Wayne Paul Bazil, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1588743991
80 JESSE HILL JR DR SE
Atlanta, GA 30303
(404) 616-1000
✔ Accepts Medicare22 mi
Morgan Ragland, MSN, FNP
Nurse Practitioner
NPI 1417297219
2001 PEACHTREE RD NE STE 575
Atlanta, GA 30309
(404) 350-0106
✔ PECOS✔ Accepts Medicare25 mi
Marissa Commodore, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1881264356
5357 WINDFERN CT
Stone Mountain, GA 30088
(770) 875-3080
✔ Accepts Medicare28 mi
Monica Mcgowan, NP
Nurse Practitioner
NPI 1477813954
2550 WINDY HILL RD SE SUITE 215
Marietta, GA 30067
(770) 850-9727
✔ PECOS31 mi
Ted Chang, M.D.
Diagnostic Radiology
NPI 1871740332
960 JOE FRANK HARRIS PKWY SE RADIOLOGY DEPT
Cartersville, GA 30120
(865) 236-1311
✔ PECOS✔ Accepts Medicare55 mi
Mark Rheaume, M.D.
Diagnostic Radiology
NPI 1811177884
960 JOE FRANK HARRIS PKWY SE
Cartersville, GA 30120
(770) 607-7339
✔ PECOS✔ Accepts Medicare55 mi
Adam Deal, M.D.
Diagnostic Radiology
NPI 1184951170
960 JOE FRANK HARRIS PKWY SE
Cartersville, GA 30120
(770) 386-1530
✔ PECOS✔ Accepts Medicare55 mi
Melissa Seely-Morgan, MD
Interventional Radiology
NPI 1720035033
960 JOE FRANK HARRIS PKWY SE
Cartersville, GA 30120
(770) 607-7339
✔ PECOS✔ Accepts Medicare55 mi

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 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
Expired · 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.

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.

Is Regenerative Spine And Pain Specialists enrolled in Medicare?

Yes. Regenerative Spine And Pain Specialists is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Regenerative Spine And Pain Specialists?

According to the CMS Revalidation Reassignment List (October 2026 release), 13 clinicians in 6 Medicare specialties reassign their Medicare billing to Regenerative Spine And Pain Specialists. 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. The largest specialties are Certified Registered Nurse Anesthetist (CRNA) (3), Diagnostic Radiology (3) and Interventional Radiology (2). Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Regenerative Spine And Pain Specialists hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2255871) is associated with this NPI, valid through March 17, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Regenerative Spine And Pain Specialists accept?

Health plans from Alliant Health Plans, Inc. 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.