1. Home
  2. Directory
  3. Georgia
  4. Jackson
  5. Pain Medicine
  6. NPI Profile

SELECT INTERVENTIONAL PAIN, PC
NPI 1750789947
Pain Medicine - Interventional Pain Medicine in Jackson, GA

Active since December 20, 2014CLIA 11D2091367 · Certificate of Compliance
794 MCDONOUGH RD, SUITE 108, JACKSON, GA 30233(470) 251-5300(470) 251-5301 Get Directions Write a Review

NPPES record last updated: February 19, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 19, 2017, Jan 7, 2017, Aug 15, 2016 (3 updates tracked since 2016).

About Select Interventional Pain, Pc NPPES

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

SELECT INTERVENTIONAL PAIN, PC (NPI 1750789947) is a healthcare organization registered as an interventional pain medicine in Jackson, Georgia and active in the NPI registry since December 2014. The organization holds a CLIA Certificate of Compliance certificate valid through August 20, 2026 and lists Derrell L Leggett, President, as its authorized official.

NPPES Registry Identity

NPI1750789947
Entity TypeOrganization
Primary Taxonomy208VP0014X
Legal Business NameSELECT INTERVENTIONAL PAIN, PC
Location Address794 MCDONOUGH RD, SUITE 108Jackson, GA 30233-1572
Mailing Address794 Mcdonough Rd, Suite 108Jackson, GA 30233-1572 · (470) 251-5300 · Fax (470) 251-5301
Phone(470) 251-5300
Fax(470) 251-5301
Organization SubpartNo
Authorized OfficialDerrell L LeggettPresident · (470) 251-5300
Enumeration DateDecember 20, 2014
Last NPPES UpdateFebruary 19, 20173 updates tracked since enumeration
✔ NPI 1750789947 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.
794 MCDONOUGH RD, Jackson, GA 30233
Open in Google Maps ↗

Other Identifiers 1

Medicare UPIN60125BGA

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 ›

CLIA Laboratory Certificates CMS CLIA

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 Compliance 11D2091367

Select Interventional Pain, PC · Jackson, GA
Active · expires Aug 20, 2026
CLIA Number11D2091367
Laboratory TypePhysician Office
Certificate Effective DateAugust 21, 2024
Certificate Expiration DateAugust 20, 2026
Laboratory DirectorLisa Cichon
Laboratory Phone(470) 251-5300
Laboratory LocationSelect Interventional Pain, PC794 Mcdonough Road, Suite 108, Jackson, GA 30233
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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.

JACKSON DIALYSIS CENTER
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
794 MCDONOUGH RD, SUITE 108
JACKSON, GA 30233
Butts County (770) 504-9525
SOUTH GEORGIA TREATMENT, INC
Clinic/Center (Methadone)
794 MCDONOUGH RD
JACKSON, GA 30233
Butts County (770) 775-9044
BENNIE R WHITE JR MD INC
Clinic/Center (Primary Care)
794 MCDONOUGH RD, SUITE 105
JACKSON, GA 30233
Butts County (770) 775-2341
DR. DERRELL LEVOHN LEGGETT M.D.
Pain Medicine (Interventional Pain Medicine)
794 MCDONOUGH RD, SUITE 108
JACKSON, GA 30233
Butts County (470) 251-5300
MRS. JAIMI MARIE NORRELL NP-C
Nurse Practitioner (Family)
794 MCDONOUGH RD, 111
JACKSON, GA 30233
Butts County (470) 251-5300
BENNIE R. WHITE JR. MD
Family Medicine
794 MCDONOUGH RD, SUITE 105
JACKSON, GA 30233
Butts County (770) 775-2341
RENAL TREATMENT CENTERS MID ATLANTIC INC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
794 MCDONOUGH RD
JACKSON, GA 30233
Butts County (770) 504-0365
JENNIFER MONSRUD NP
Nurse Practitioner (Family)
794 MCDONOUGH RD
JACKSON, GA 30233
Butts County (470) 251-5300

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 Select Interventional Pain, PC's NPI number?

The NPI number for Select Interventional Pain, PC is 1750789947. It was assigned to this organization in the NPPES registry on December 20, 2014.

Where is Select Interventional Pain, PC located?

Select Interventional Pain, PC is located at 794 Mcdonough Rd Suite 108, Jackson, GA 30233. The listed phone number is (470) 251-5300.

What is Select Interventional Pain, PC's specialty?

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

Does Select Interventional Pain, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 11D2091367) is associated with this NPI, valid through August 20, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Select Interventional Pain, PC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Select Interventional Pain, PC 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 Select Interventional Pain, PC was last updated on February 19, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.