ROSWELL PAIN SPECIALISTS
NPI 1831486430
Clinic/Center - Pain in Roswell, GA

Active since July 01, 2011CLIA 11D2044488 · Certificate of Compliance
1300 UPPER HEMBREE RD SUITE B1 BUILDING 100, ROSWELL, GA 30076(678) 736-7680(888) 537-5362 Get Directions Write a Review

NPPES record last updated: August 8, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Roswell Pain Specialists NPPES

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

ROSWELL PAIN SPECIALISTS (NPI 1831486430) is a healthcare organization registered as a pain in Roswell, Georgia and active in the NPI registry since July 2011. The organization holds a CLIA Certificate of Compliance certificate valid through July 28, 2027 and lists Damon C Kimes, Doctor/director, as its authorized official.

NPPES Registry Identity

NPI1831486430
Entity TypeOrganization
Primary Taxonomy261QP3300X
Legal Business NameROSWELL PAIN SPECIALISTS
Location Address1300 UPPER HEMBREE RD SUITE B1 BUILDING 100Roswell, GA 30076
Mailing Address1300 Upper Hembree Rd Suite B1 Building 100Roswell, GA 30076 · (678) 736-7680 · Fax (888) 537-5362
Fax(888) 537-5362
Organization SubpartNo
Authorized OfficialDamon C KimesDoctor/director · (404) 759-9658
Enumeration DateJuly 1, 2011
Last NPPES UpdateAugust 8, 2019
✔ NPI 1831486430 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · PainAmbulatory Health Care Facilities
Taxonomy Code261QP3300X
License✔ Licensed in GA · 050322
Also ListedPain Medicine · Pain MedicineTaxonomy 208VP0000X · License 050322 (GA)
Also ListedPain Medicine · Interventional Pain MedicineTaxonomy 208VP0014X
1300 UPPER HEMBREE RD SUITE B1 BUILDING 100, Roswell, GA 30076

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Roswell Pain Specialists is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Roswell Pain Specialists, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Emergency Medicine
NPI 1134282114
1300 UPPER HEMBREE RD STE B
Roswell, GA 30076
(678) 736-7680
✔ PECOS✔ Accepts MedicareSame address
Anesthesiology
NPI 1730124413
110 EVANS MILL DR STE 803
Dallas, GA 30157
(770) 948-6824
✔ PECOS✔ Accepts Medicare28 mi
Pain Management
NPI 1316145675
17600 NE DELFEL RD
Ridgefield, WA 98642
(800) 678-4611
✔ PECOS2,166 mi

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

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 11D2044488

Roswell Pain Specialists, LLC · Roswell, GA
Active · expires Jul 28, 2027
CLIA Number11D2044488
Laboratory TypePhysician Office
Certificate Effective DateJuly 29, 2025
Certificate Expiration DateJuly 28, 2027
Laboratory DirectorJoe N. Owens
Laboratory Phone(678) 736-7680
Laboratory LocationRoswell Pain Specialists, LLC1300 Upper Hembree Road, Bldg 100, Suite B1, Roswell, GA 30076
CLIA data matches this NPI record on: 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.

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 Roswell Pain Specialists's NPI number?

The NPI number for Roswell Pain Specialists is 1831486430. It was assigned to this organization in the NPPES registry on July 1, 2011.

Where is Roswell Pain Specialists located?

Roswell Pain Specialists is located at 1300 Upper Hembree Rd Suite B1 Building 100, Roswell, GA 30076. The listed phone number is (678) 736-7680.

What is Roswell Pain Specialists's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Pain, with taxonomy code 261QP3300X.

Is Roswell Pain Specialists enrolled in Medicare?

Yes. Roswell Pain Specialists is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Roswell Pain Specialists?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Roswell Pain Specialists, in Anesthesiology, Emergency Medicine and Pain Management. 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.

Does Roswell Pain Specialists hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 11D2044488) is associated with this NPI, valid through July 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Roswell Pain Specialists was last updated on August 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.