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SOUTHERN COMFORT PAIN & WELLNESS
NPI 1720728454
Anesthesiology - Pain Medicine in Loganville, GA

Active since March 30, 2022
151 LEE BYRD RD, LOGANVILLE, GA 30052(678) 587-5993(678) 587-5997 Get Directions Write a Review

NPPES record last updated: May 21, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 21, 2022, Apr 5, 2022 (2 updates tracked since 2022).

About Southern Comfort Pain & Wellness NPPES

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

SOUTHERN COMFORT PAIN & WELLNESS (NPI 1720728454) is a healthcare organization registered as a pain medicine in Loganville, Georgia and active in the NPI registry since March 2022. The organization lists Michael Kissel, Owner, as its authorized official.

NPPES Registry Identity

NPI1720728454
Entity TypeOrganization
Primary Taxonomy207LP2900X
Legal Business NameSOUTHERN COMFORT PAIN & WELLNESS
Location Address151 LEE BYRD RDLoganville, GA 30052-2310
Mailing Address151 Lee Byrd RdLoganville, GA 30052-2310
Phone(678) 587-5993
Fax(678) 587-5997
Organization SubpartNo
Authorized OfficialMichael KisselOwner · (770) 633-5513
Enumeration DateMarch 30, 2022
Last NPPES UpdateMay 21, 20222 updates tracked since enumeration
NPPES CertifiedMay 21, 2022
✔ NPI 1720728454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LP2900X
Definition
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
151 LEE BYRD RD, Loganville, GA 30052
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.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)

Southern Comfort Pain & Wellness is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Southern Comfort Pain & Wellness, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Michael Kissel, M.D.
Anesthesiology
NPI 1356542799
151 LEE BYRD RD
Loganville, GA 30052
(678) 587-5993
✔ PECOSSame address
Tiaya Welsh, FNP-BC, MSN, APRN
Nurse Practitioner
NPI 1366978314
705 BREEDLOVE DR STE 200
Monroe, GA 30655
(706) 554-5009
✔ PECOS✔ Accepts Medicare10.0 mi

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 Southern Comfort Pain & Wellness's NPI number?

The NPI number for Southern Comfort Pain & Wellness is 1720728454. It was assigned to this organization in the NPPES registry on March 30, 2022.

Where is Southern Comfort Pain & Wellness located?

Southern Comfort Pain & Wellness is located at 151 Lee Byrd Rd, Loganville, GA 30052. The listed phone number is (678) 587-5993.

What is Southern Comfort Pain & Wellness's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

Is Southern Comfort Pain & Wellness enrolled in Medicare?

Yes. Southern Comfort Pain & Wellness is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southern Comfort Pain & Wellness?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Southern Comfort Pain & Wellness, in Anesthesiology and Nurse Practitioner. 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. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Southern Comfort Pain & Wellness accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Southern Comfort Pain & Wellness 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 Southern Comfort Pain & Wellness was last updated on May 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.