INTERVENTIONAL SPINE AND PAIN MANAGEMENT AMBULATORY SURGICAL CENTER
NPI 1750420147
Clinic/Center - Ambulatory Surgical in Conyers, GA

Active since February 05, 2007
1388 WELLBROOK CIR NE, SUITE A, CONYERS, GA 30012(770) 929-9033(770) 929-9092 Get Directions Write a Review

NPPES record last updated: February 29, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Interventional Spine And Pain Management Ambulatory Surgical Center NPPES

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

INTERVENTIONAL SPINE AND PAIN MANAGEMENT AMBULATORY SURGICAL CENTER (NPI 1750420147), doing business as Ispm Asc, is a healthcare organization registered as an ambulatory surgical in Conyers, Georgia and active in the NPI registry since February 2007. The organization lists Victoria Beck, Cfo, as its authorized official.

NPPES Registry Identity

NPI1750420147
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameINTERVENTIONAL SPINE AND PAIN MANAGEMENT AMBULATORY SURGICAL CENTER
Location Address1388 WELLBROOK CIR NE, SUITE AConyers, GA 30012-3872
Mailing AddressPo Box 11407 Dept 2344Birmingham, AL 35246-3872 · (770) 929-9033 · Fax (770) 929-9092
Fax(770) 929-9092
Organization SubpartNo
Authorized OfficialVictoria BeckCfo · (404) 920-4950
Enumeration DateFebruary 5, 2007
Last NPPES UpdateFebruary 29, 2020
✔ NPI 1750420147 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
1388 WELLBROOK CIR NE, Conyers, GA 30012

Other Names 1

Former Legal Business NameIspm Asc

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Interventional Spine And Pain Management Ambulatory Surgical Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateGeorgiaEnrollment IDO20070323000138Non-DME Part B · Ambulatory Surgical CenterDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

116

Medicare enrollment records show 116 clinicians reassign Medicare billing to Interventional Spine And Pain Management Ambulatory Surgical Center, which bills Medicare for the services they deliver. Of these, 2 practice at this address. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 4

Certified Registered Nurse Anesthetist (CRNA)100
Anesthesiology7
Pain Management6
Interventional Pain Management3

Nearest to this location (20)

See all 116
Interventional Pain Management
NPI 1235185141
1388 WELLBROOK CIR NE SUITE A
Conyers, GA 30012
(770) 929-9033
✔ PECOS✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1013084136
1388 WELLBROOK CIR NE
Conyers, GA 30012
(770) 929-9033
Same address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1649552977
5126 HOSPITAL DR NE
Covington, GA 30014
(770) 478-9877
✔ Accepts Medicare10 mi
Pain Management
NPI 1679869234
5303 ADAMS ST NE STE C&D
Covington, GA 30014
(404) 920-4950
✔ PECOS✔ Accepts Medicare11 mi
Pain Management
NPI 1861435364
5303 ADAMS ST NE STE B
Covington, GA 30014
(770) 929-9033
✔ PECOS✔ Accepts Medicare11 mi
Interventional Pain Management
NPI 1003848649
5303 ADAMS ST NE STE B
Covington, GA 30014
(678) 729-8590
✔ PECOS✔ Accepts Medicare11 mi
Anesthesiology
NPI 1184658031
2270 OAK ROAD
Snellville, GA 30078
(404) 831-2786
✔ PECOS12 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1396914255
3848 CHERRY RIDGE BLVD
Decatur, GA 30034
(404) 212-0045
14 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1417282534
1557 JANMAR RD
Snellville, GA 30078
(678) 344-8900
✔ Accepts Medicare14 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1568842201
1557 JANMAR RD
Snellville, GA 30078
(678) 344-8900
✔ Accepts Medicare14 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1487196705
1557 JANMAR RD
Snellville, GA 30078
(678) 344-8900
✔ Accepts Medicare14 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1538137096
2380 AURIE DR
Decatur, GA 30034
(404) 244-9515
17 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1467409268
2701 N DECATUR RD
Decatur, GA 30033
(404) 501-5265
✔ Accepts Medicare18 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1376598169
2701 N DECATUR RD
Decatur, GA 30033
(404) 778-7408
✔ Accepts Medicare18 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1043755853
2551 WILSON WOODS DR
Decatur, GA 30033
(770) 757-0131
✔ Accepts Medicare19 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1104852755
1000 MEDICAL CENTER BLVD
Lawrenceville, GA 30046
(770) 277-3056
✔ Accepts Medicare20 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1679608517
1000 MEDICAL CENTER BLVD
Lawrenceville, GA 30046
(678) 514-1991
✔ Accepts Medicare20 mi
Interventional Pain Management
NPI 1558310151
2061 PEACHTREE RD NE STE 225
Atlanta, GA 30309
(770) 929-9033
✔ PECOS✔ Accepts Medicare24 mi
Pain Management
NPI 1194712018
2061 PEACHTREE RD NE STE 225
Atlanta, GA 30309
(770) 929-9033
✔ PECOS✔ Accepts Medicare24 mi
Anesthesiology
NPI 1518174457
2061 PEACHTREE RD NE STE 225
Atlanta, GA 30309
(404) 554-0633
✔ PECOS24 mi
See all 116 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483
This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.
168 services70 patients
Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography G0260
This procedure involves injecting medicine into the sacroiliac joint, located in the lower back. The aim is to reduce inflammation and pain. Anesthetic is used for immediate pain relief, while a steroid helps decrease inflammation over time. Arthrography, a type of imaging, may be used for precision.
156 services68 patients
Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint 64635
This procedure involves using imaging guidance to accurately target and destroy nerves in the lower or sacral spinal facet joint. It's done to relieve chronic back pain. The process is safe and usually effective.
123 services63 patients
Injection of lower or sacral spine facet joint using imaging guidance, single level 64493
This procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.
99 services29 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
46 services25 patients
Injection of upper or middle spine facet joint using imaging guidance, single level 64490
This procedure involves injecting medication into a joint in your upper or middle spine. It's performed under imaging guidance for precision. The aim is to reduce inflammation and pain. It's a single-level process, meaning one joint is treated at a time.
40 services12 patients

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 Interventional Spine And Pain Management Ambulatory Surgical Center's NPI number?

The NPI number for Interventional Spine And Pain Management Ambulatory Surgical Center is 1750420147. It was assigned to this organization in the NPPES registry on February 5, 2007. The provider was formerly known as Ispm ASC.

Where is Interventional Spine And Pain Management Ambulatory Surgical Center located?

Interventional Spine And Pain Management Ambulatory Surgical Center is located at 1388 Wellbrook Cir NE Suite A, Conyers, GA 30012. The listed phone number is (770) 929-9033.

What is Interventional Spine And Pain Management Ambulatory Surgical Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Is Interventional Spine And Pain Management Ambulatory Surgical Center enrolled in Medicare?

Yes. Interventional Spine And Pain Management Ambulatory Surgical Center is registered in the Medicare PECOS enrollment system.

When is Interventional Spine And Pain Management Ambulatory Surgical Center's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Georgia, Ambulatory Surgical Center) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Interventional Spine And Pain Management Ambulatory Surgical Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 116 clinicians in 4 Medicare specialties reassign their Medicare billing to Interventional Spine And Pain Management Ambulatory Surgical Center. 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) (100), Anesthesiology (7) and Pain Management (6). Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Interventional Spine And Pain Management Ambulatory Surgical Center 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 Interventional Spine And Pain Management Ambulatory Surgical Center 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 Interventional Spine And Pain Management Ambulatory Surgical Center was last updated on February 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.