ACE PAIN AND SPINE LLC
NPI 1811515554
Clinic/Center - Pain in Dacula, GA
About Ace Pain And Spine Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ACE PAIN AND SPINE LLC (NPI 1811515554) is a healthcare organization registered as a pain in Dacula, Georgia and active in the NPI registry since July 2020. The organization lists Cory Mansour, Physician / Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Accepted 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)
Ace Pain And Spine Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Ace Pain And Spine LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
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 Ace Pain And Spine LLC's NPI number?
The NPI number for Ace Pain And Spine LLC is 1811515554. It was assigned to this organization in the NPPES registry on July 9, 2020.
Where is Ace Pain And Spine LLC located?
Ace Pain And Spine LLC is located at 3625 Braselton Hwy Ste 201, Dacula, GA 30019. The listed phone number is (678) 404-2220.
What is Ace Pain And Spine LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Pain, with taxonomy code 261QP3300X.
Is Ace Pain And Spine LLC enrolled in Medicare?
Yes. Ace Pain And Spine LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Ace Pain And Spine LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Anesthesiology, reassign their Medicare billing to Ace Pain And Spine LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Ace Pain And Spine LLC accept?
Health plans from Ambetter Health list Ace Pain And Spine 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 Ace Pain And Spine LLC was last updated on July 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Ace Pain And Spine Llc · NPI 1811515554
Pain organization in Dacula, Georgia. Organization record, active in the CMS NPPES registry since July 9, 2020.
## Identity
- **NPI:** 1811515554 (Entity type: Organization)
- **Enumerated:** July 9, 2020
- **Primary specialty:** Clinic/Center - Pain · taxonomy 261QP3300X
- **Organization subpart:** No
- **Authorized official:** Cory Mansour, PHYSICIAN / OWNER
## Practice location
- **Address:** 3625 BRASELTON HWY STE 201, Dacula, GA 30019-4695
- **Phone:** (678) 404-2220
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Anesthesiology) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 20, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1811515554) · Data from the CMS NPPES public registry.