Organization Active NPI

Nova Spine and Pain Care PC

Doing business as Nova Spine and Pain Care

  • Pain Medicine (Anesthesiology) Physician
  • Canton, GA
National Provider Identifier
1225759236
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
NOVA SPINE AND PAIN CARE PC
Doing business as
Nova Spine and Pain Care
Practice address
145 Riverstone Ter Ste 101
Canton, GA 30114-5327
Phone
(770) 450-4807
NPI assigned
Sep 7, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Chitra Ramasubbu, MDNPI 1467614016
Title
Director
Phone
(267) 901-3020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207LP2900X Primary

Addresses

Primary practice location

145 Riverstone Ter Ste 101
Canton, GA 30114-5327

Mailing address

145 Riverstone Ter Ste 101
Canton, GA 30114-5327
Phone (770) 450-4807

Other names 1

  • Nova Spine and Pain Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20221109000339 GA Part B Supplier - Clinic/Group Practice 7517334246 Receives reassigned benefits from 3 practitioners
Practice locations: Lawrenceville, GA; Canton, GA
O20251021001476 GA DME Supplier - Physician - Interventional Pain Management 7517334246 Practice locations: Canton, GA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D2268729Nova Spine and Pain Care145 Riverstone Terrace Suite 101, Canton, GA 30114Certificate of waiverSep 15, 2026

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/27392/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1662508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757980800000",
    "number": "1225759236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 RIVERSTONE TER STE 101",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301145327",
            "telephone_number": "770-450-4807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 RIVERSTONE TER STE 101",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301145327",
            "telephone_number": "770-450-4807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA SPINE AND PAIN CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-07",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A",
        "authorized_official_last_name": "RAMASUBBU",
        "authorized_official_first_name": "CHITRA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "267-901-3020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nova Spine and Pain Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Canton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.