Southern Pain and Spine Associates, LLC
A Medicare group practice based in Atlanta, GA: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 7517370299), with 21 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 7517370299
- Provider type
- DME Supplier - Physician - Interventional Pain Management, Part B Supplier - Clinic/Group Practice
- Enrolled in
- GA
- Enrollments
- 2
- Group size
- 19 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 9
Enrollment records 2
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20210120000336 | GA | Part B Supplier - Clinic/Group Practice | 1336744770 |
| O20251104001158 | GA | DME Supplier - Physician - Interventional Pain Management | 1548059835 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Southern Pain and Spine Associates LLC
- Interventional Pain Medicine Physician
- Gainesville, GA
- NPI 1336744770
-
Southern Pain and Spine Associates, LLC
- Durable Medical Equipment & Medical Supplies
- Atlanta, GA
- NPI 1548059835
Practice locations
- Atlanta, GA3
- Newnan, GA1
- Athens, GA1
- Fayetteville, GA1
- Gainesville, GA1
- Jasper, GA1
- Stockbridge, GA1
Merit-based Incentive Payment System (MIPS)
Medicare Care Compare- Final score
- 84.67 of 100
- Quality
- 82.31
- Promoting interoperability
- 97
- Improvement activities
- 40
- Cost
- 69.11
Clinicians 21
Clinicians who reassign their Medicare benefits to this group (21) or whom Care Compare lists as members (19).
-
Sushanth Raghu Boda, DO
- Interventional Pain Medicine Physician
- Newnan, GA
- NPI 1780114975
-
Mayson Augustus Callaway IV, M.D.
- Interventional Pain Medicine Physician
- Atlanta, GA
- NPI 1841653136
-
Emily S Cummins, NP-C
- Family Nurse Practitioner
- Jasper, GA
- NPI 1205078730
-
Rodrigo A Duralde, M.D.
- Interventional Pain Medicine Physician
- Atlanta, GA
- NPI 1265484208
-
Abieyuwa Eweka, M.D.
- Vascular & Interventional Radiology Physician
- Miami, FL
- NPI 1144647272
-
Jignesh N Gandhi, M.D.
- Interventional Pain Medicine Physician
- Atlanta, GA
- NPI 1225088198
-
Cameron Griffin, FNP-C
- Family Nurse Practitioner
- Atlanta, GA
- NPI 1962027714
-
David N Isaac, FNP-C
- Family Nurse Practitioner
- Riverdale, GA
- NPI 1093765067
-
Raffaela R Isett, P.A.
- Medical Physician Assistant
- Newnan, GA
- NPI 1619024692
-
Evesha Kenya Kenlyn
- Pain Medicine (Anesthesiology) Physician
- Atlanta, GA
- NPI 1477012656
-
Alexandra Moreira, MD
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Barrington, IL
- NPI 1134744238
-
Tonya Michelle Ogletree, P.A.C.
- Medical Physician Assistant
- Stockbridge, GA
- NPI 1477540946
-
Ankur Bharat Patel, D.O.
- Pain Medicine (Anesthesiology) Physician
- Gainesville, GA
- NPI 1780971994
-
Nikita Harish Patel, ARNP
- Family Nurse Practitioner
- Stockbridge, GA
- NPI 1962985028
-
Vishalee Patel, PA-C
- Physician Assistant
- Newnan, GA
- NPI 1316402282
-
Nathaniel Kearney Pleasant, MD
- Pain Medicine (Anesthesiology) Physician
- Atlanta, GA
- NPI 1881999563
-
Keerthi D Prasad, M.D.
- Vascular & Interventional Radiology Physician
- Dallas, TX
- NPI 1043518186
-
Margaret Ann Riso, M.D.
- Pain Medicine (Anesthesiology) Physician
- Gainesville, GA
- NPI 1417337320
-
Michael J Schmidt, MD
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Athens, GA
- NPI 1659909760
-
Stephanie Farr Stagner, NP
- Nurse Practitioner
- Atlanta, GA
- NPI 1235389446
-
Jordan Lee Tate, M.D., MPH
- Interventional Pain Medicine Physician
- Jasper, GA
- NPI 1508008079
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.