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SOUTHEAST PAIN MANAGEMENT LLC
NPI 1780511964
Psychiatry & Neurology - Psychiatry in Miami Beach, FL

Active since May 04, 2026
407 LINCOLN RD STE 6H-1479, MIAMI BEACH, FL 33139(718) 931-9700 Get Directions Write a Review

NPPES record last updated: May 13, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 13, 2026, May 4, 2026 (2 updates tracked since 2026).

About Southeast Pain Management Llc NPPES

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

SOUTHEAST PAIN MANAGEMENT LLC (NPI 1780511964) is a healthcare organization registered as a psychiatry in Miami Beach, Florida and active in the NPI registry since May 2026. The organization lists Samuel Kohn, Member, as its authorized official.

NPPES Registry Identity

NPI1780511964
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameSOUTHEAST PAIN MANAGEMENT LLC
Location Address407 LINCOLN RD STE 6H-1479Miami Beach, FL 33139-3020
Mailing Address4770 White Plains RdBronx, NY 10470-1136
Phone(718) 931-9700
Organization SubpartNo
Authorized OfficialSamuel KohnMember · (718) 931-9700
Enumeration DateMay 4, 2026
Last NPPES UpdateMay 13, 20262 updates tracked since enumeration
NPPES CertifiedMay 13, 2026
✔ NPI 1780511964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
407 LINCOLN RD STE 6H-1479, Miami Beach, FL 33139
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).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)

Southeast Pain Management Llc 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 Southeast Pain Management LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Justin Alexander, M.D.
Physical Medicine and Rehabilitation
NPI 1821300492
1 GLENLAKE PKWY STE 700
Atlanta, GA 30328
(205) 427-4375
✔ PECOS✔ Accepts Medicare616 mi
Tiwalade Olawuyi, NP
Nurse Practitioner
NPI 1114212115
811 KENNESAW AVE NW
Marietta, GA 30060
(770) 422-2451
✔ PECOS✔ Accepts Medicare624 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 Southeast Pain Management LLC's NPI number?

The NPI number for Southeast Pain Management LLC is 1780511964. It was assigned to this organization in the NPPES registry on May 4, 2026.

Where is Southeast Pain Management LLC located?

Southeast Pain Management LLC is located at 407 Lincoln Rd Ste 6h-1479, Miami Beach, FL 33139. The listed phone number is (718) 931-9700.

What is Southeast Pain Management LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Southeast Pain Management LLC enrolled in Medicare?

Yes. Southeast Pain Management LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southeast Pain Management LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Southeast Pain Management LLC, in Nurse Practitioner and Physical Medicine and Rehabilitation. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Southeast Pain Management LLC accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Southeast Pain Management LLC 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 Southeast Pain Management LLC was last updated on May 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.