SOUTHERN CRESCENT PAIN MANAGEMENT LLC
NPI 1831374982
Pain Medicine - Interventional Pain Medicine in Stockbridge, GA

Q: What is Southern Crescent Pain Management LLC's specialty?

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

Active since January 08, 2008

147 N PARK TRL, STOCKBRIDGE, GA 30281(678) 284-1232(678) 284-1296 Get Directions Write a Review

NPPES record last updated: January 8, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Southern Crescent Pain Management Llc NPPES

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

SOUTHERN CRESCENT PAIN MANAGEMENT LLC (NPI 1831374982) is a healthcare organization registered as an interventional pain medicine in Stockbridge, Georgia and active in the NPI registry since January 2008. The organization lists Olufemi Ayotunde Ogunyemi, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1831374982

Entity TypeOrganization

Primary Taxonomy208VP0014X

Legal Business NameSOUTHERN CRESCENT PAIN MANAGEMENT LLC

Location Address147 N PARK TRLStockbridge, GA 30281-7373

Mailing Address147 N Park TrlStockbridge, GA 30281-7373 · (678) 284-1232 · Fax (678) 284-1296

Phone(678) 284-1232

Fax(678) 284-1296

Organization SubpartNo

Authorized OfficialOlufemi Ayotunde OgunyemiMedical Director · (678) 284-1232

Enumeration DateJanuary 8, 2008

✔ NPI 1831374982 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians

Taxonomy Code208VP0014X

License✔ Licensed in GA · 045566

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.

147 N PARK TRL, Stockbridge, GA 30281

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Other Identifiers 1

Medicare UPIN682664GA

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

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ASTHMA ALLERGY AND IMMUNOLOGY CLINIC LLC

Allergy & Immunology

147 N PARK TRL
STOCKBRIDGE, GA 30281

Henry County (678) 489-7901

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 Crescent Pain Management LLC's NPI number?

The NPI number for Southern Crescent Pain Management LLC is 1831374982. It was assigned to this organization in the NPPES registry on January 8, 2008.

Where is Southern Crescent Pain Management LLC located?

Southern Crescent Pain Management LLC is located at 147 N Park Trl, Stockbridge, GA 30281. The listed phone number is (678) 284-1232.

What is Southern Crescent Pain Management LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Southern Crescent Pain Management LLC was last updated on January 8, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.