Organization Active NPI

Augusta Spine and Pain Specialists PC

  • Pain Medicine (Psychiatry & Neurology) Physician
  • Grovetown, GA
National Provider Identifier
1356021067
Registry record updated Feb 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084P2900X
Legal business name
AUGUSTA SPINE AND PAIN SPECIALISTS PC
Practice address
5180 Wrightsboro Rd
Grovetown, GA 30813-2802
Phone
(312) 402-1942
NPI assigned
Jul 19, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2025

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

Authorized official

Name
Inderpal SinghNPI 1902164981
Title
Medical Director
Phone
(312) 402-1942

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X
Pain Medicine (Psychiatry & Neurology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P2900X Primary

Addresses

Primary practice location

5180 Wrightsboro Rd
Grovetown, GA 30813-2802

Mailing address

5180 Wrightsboro Rd
Grovetown, GA 30813-2802
Phone (706) 530-0064

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240416000551 GA Part B Supplier - Clinic/Group Practice 9830538420 Receives reassigned benefits from 1 practitioner
Practice locations: Grovetown, GA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Augusta Spine and Pain Specialists2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5180 Wrightsboro Rd
Grovetown, GA 30813
Phone (312) 402-1942

Practitioners & affiliated clinicians

Practitioners 1

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": "1689724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738540800000",
    "number": "1356021067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5180 WRIGHTSBORO RD",
            "city": "GROVETOWN",
            "state": "GA",
            "postal_code": "308132802",
            "telephone_number": "706-530-0064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5180 WRIGHTSBORO RD",
            "city": "GROVETOWN",
            "state": "GA",
            "postal_code": "308132802",
            "telephone_number": "312-402-1942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUGUSTA SPINE AND PAIN SPECIALISTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-19",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A",
        "authorized_official_last_name": "SINGH",
        "authorized_official_first_name": "INDERPAL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "312-402-1942"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grovetown, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.