NPIMap

Southern Interventional Pain Center LLC

A Medicare group practice based in Thomasville, GA: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 9436460318), with 6 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
9436460318The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
DME Supplier - Physician - Interventional Pain Management, DME Supplier - Physician - Physical and Rehabilitation, Part B Supplier - Clinic/Group Practice
Enrolled in
FL, GA
Enrollments
4
Group size
5 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
5In 3 places

Enrollment records 4

Enrollment IDStateProvider typeNPI
O20190322001312 FL DME Supplier - Physician - Physical and Rehabilitation 1063971596
O20190311001682 FL Part B Supplier - Clinic/Group Practice 1306225479
O20150618001544 GA Part B Supplier - Clinic/Group Practice 1306225479
O20150827003360 GA DME Supplier - Physician - Interventional Pain Management 1306225479

NPIs in this group 2

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 6

Clinicians who reassign their Medicare benefits to this group (6) or whom Care Compare lists as members (5).

Sources for this page