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SOUTHERN PAIN INSTITUTE PC
NPI 1609913318
Pain Medicine - Interventional Pain Medicine in Conyers, GA

Active since January 31, 2007
1501 MILSTEAD RD NE, SUITE 140, CONYERS, GA 30012(770) 632-3730(770) 632-3731 Get Directions Write a Review

NPPES record last updated: July 30, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Southern Pain Institute Pc NPPES

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

SOUTHERN PAIN INSTITUTE PC (NPI 1609913318) is a healthcare organization registered as an interventional pain medicine in Conyers, Georgia and active in the NPI registry since January 2007. The organization lists Anthony T Clavo, Ceo, as its authorized official.

NPPES Registry Identity

NPI1609913318
Entity TypeOrganization
Primary Taxonomy208VP0014X
Legal Business NameSOUTHERN PAIN INSTITUTE PC
Location Address1501 MILSTEAD RD NE, SUITE 140Conyers, GA 30012-3838
Mailing Address1975 Highway 54 W, Suite 100Peachtree City, GA 30269-4794 · (770) 632-3730 · Fax (770) 632-3731
Phone(770) 632-3730
Fax(770) 632-3731
Organization SubpartNo
Authorized OfficialAnthony T ClavoCeo · (770) 632-3730
Enumeration DateJanuary 31, 2007
Last NPPES UpdateJuly 30, 2015
✔ NPI 1609913318 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0014X
License✔ Licensed in GA · 045425
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.
1501 MILSTEAD RD NE, Conyers, GA 30012
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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

Other Providers at the Same Location NPPES 9

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

MEGHANA BHATTA KUMAR M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1501 MILSTEAD RD NE
CONYERS, GA 30012
Rockdale County (140) 454-5234
GEORGIA CANCER SPECIALISTS I PC
Internal Medicine (Hematology & Oncology)
1501 MILSTEAD RD NE, SUITE 110
CONYERS, GA 30012
Rockdale County (770) 760-9949
DR. KEVIN H PEACOCK MD
Internal Medicine (Hematology & Oncology)
1501 MILSTEAD RD NE, SUITE 110
CONYERS, GA 30012
Rockdale County (770) 760-9949
DR. SHERINE J THOMAS M.D.
Internal Medicine (Hematology & Oncology)
1501 MILSTEAD RD NE, SUITE 110
CONYERS, GA 30012
Rockdale County (770) 760-9949
NADER A DBOUK MD
Internal Medicine (Gastroenterology)
1501 MILSTEAD RD NE, SUITE 120
CONYERS, GA 30012
Rockdale County (678) 745-3033
WILDER DIALYSIS LLC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1501 MILSTEAD RD NE
CONYERS, GA 30012
Rockdale County (770) 761-8097
DAVID S RABIN M.D.
Internal Medicine (Gastroenterology)
1501 MILSTEAD RD NE, STE 120
CONYERS, GA 30012
Rockdale County (678) 745-3033
NSH CANCER INSTITUTE PROFESSIONAL SERVICES G, LLC
Durable Medical Equipment & Medical Supplies
1501 MILSTEAD RD NE, SUITE 110
CONYERS, GA 30012
Rockdale County (770) 760-9949

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 Southern Pain Institute PC's NPI number?

The NPI number for Southern Pain Institute PC is 1609913318. It was assigned to this organization in the NPPES registry on January 31, 2007.

Where is Southern Pain Institute PC located?

Southern Pain Institute PC is located at 1501 Milstead Rd NE Suite 140, Conyers, GA 30012. The listed phone number is (770) 632-3730.

What is Southern Pain Institute PC's specialty?

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

When was this NPI record last updated?

The NPPES record for Southern Pain Institute PC was last updated on July 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.