Active NPI
Spine and Pain Clinic of North America, LLC
- Pain Medicine (Anesthesiology) Physician
- Fairfax, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- Legal business name
- SPINE AND PAIN CLINIC OF NORTH AMERICA, LLC
- Practice address
- 4001 Fair Ridge Dr
Suite 202
Fairfax, VA 22033-2917 - Phone
- (301) 873-9596
- Fax
- (703) 520-7269
- NPI assigned
- Jul 6, 2016
- Last updated
- Aug 17, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Farah Zia
- Title
- Owner
- Phone
- (703) 520-1031
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | NU | Primary | |
| Pain Medicine Physician | 208VP0000X | 0101233975 | VA |
Addresses
Primary practice location
4001 Fair Ridge Dr
Suite 202
Fairfax, VA 22033-2917
Mailing address
4001 Fair Ridge Dr Ste 202
Fairfax, VA 22033-2917
Phone (703) 520-1031
Other practice location 1
7811 Montrose Rd Ste 220
Potomac, MD 20854-3353
Phone (703) 520-1031
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, VA, MD
Enrollment records 3
Other NPIs on the same Medicare enrollment 4
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Ambulatory Surgical Clinic/Center
- Frederick, MD
- NPI 1508199720
O20230412002140
-
- Ambulatory Surgical Clinic/Center
- Prince Frederick, MD
- NPI 1285944504
O20230412002140
-
- Ambulatory Surgical Clinic/Center
- Waldorf, MD
- NPI 1710112669
O20230412002140
-
- Ambulatory Surgical Clinic/Center
- Potomac, MD
- NPI 1972109940
O20160920001062, O20230412002140
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 21D2257293 | Spine and Pain Clinics of North America | Certificate of waiver | Apr 2, 2028 |
National Provider Directory
National Provider Directory- Tax ID family
- Spine and Pain Clinic of North America LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Ambulatory Surgical Clinic/Center
- Prince Frederick, MD
- NPI 1285944504
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Interventional Pain Medicine Physician
- Montour Falls, NY
- NPI 1386654051
DC, MD, VA
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467763200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1786924800000",
"number": "1275985970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4001 FAIR RIDGE DR STE 202",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220332917",
"telephone_number": "703-520-1031",
"fax_number": "703-520-7269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4001 FAIR RIDGE DR",
"address_2": "SUITE 202",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220332917",
"telephone_number": "301-873-9596",
"fax_number": "703-520-7269"
}
],
"practiceLocations": [
{
"address_1": "7811 Montrose Rd Ste 220",
"address_purpose": "LOCATION",
"city": "Potomac",
"state": "MD",
"postal_code": "208543353",
"country_code": "US",
"telephone_number": "703-520-1031",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "SPINE AND PAIN CLINIC OF NORTH AMERICA, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-07-06",
"last_updated": "2026-08-17",
"certification_date": "2026-08-17",
"status": "A",
"authorized_official_last_name": "ZIA",
"authorized_official_first_name": "FARAH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "703-520-1031"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "VA",
"license": "0101233975",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2026; 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.