Active NPI
Paul L Mefferd, D.O.
- Interventional Pain Medicine Physician
- Marietta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- 54617
- Practice address
- 790 Church St NE Ste 520
Marietta, GA 30060-7282 - Phone
- (770) 419-9902
- Fax
- (770) 419-7457
- NPI assigned
- May 3, 2007
- Last updated
- Jun 4, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | 054617 | GA | |
| Interventional Pain Medicine Physician | 208VP0014X | 54617 | GA | Primary |
Addresses
Primary practice location
790 Church St NE Ste 520
Marietta, GA 30060-7282
Mailing address
790 Church St NE Ste 520
Marietta, GA 30060-7282
Phone (770) 419-9902
Other practice location 1
1060 Red Bud Rd NE
Calhoun, GA 30701-2081
Phone (706) 314-1919
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003141012A | Medicaid | GA | |
| 1710946322 | Other | GA | GROUP NPI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Pain Management
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5730 Glenridge Dr
Suite 115
Sandy Springs, GA 30328-6141
Phone 40481630002019
790 Church St NE
Suite 550
Marietta, GA 30060-8958
Phone (770) 419-9902
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 054617 | GA | MD | Pain Medicine (Physical Medicine & Rehabilitation) Physician |
| 54617 | GA | MD | Interventional Pain Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physicians Spine and Rehab Specialists of Ga | Current | Accepting new patients | |
| Physicians Spine and Rehab Specialists of Ga | Current | Accepting new patients | |
| Physicians Spine and Rehab Specialists of Ga | Current | Accepting new patients |
Locations
1060 Red Bud Rd NE
Calhoun, GA 30701
Phone (706) 226-5533
3855 Pleasant Hill Rd
Ste 380
Duluth, GA 30096
Phone (404) 816-3000
790 Church St NE
Ste 520
Marietta, GA 30060
Phone (404) 816-3000
790 Church St NE
Ste 550
Marietta, GA 30060
Phone (770) 419-9902
18 Riverbend Dr SW
Ste 100
Rome, GA 30161
Phone (706) 290-9999
5730 Glenridge Dr
Ste 100
Sandy Springs, GA 30328
Phone (404) 816-3000
Interoperability endpoints
- paul.mefferd@tphys.eclinicaldirectplus.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Specialist
- Sandy Springs, GA
- NPI 1710946322
-
- Durable Medical Equipment & Medical Supplies
- Calhoun, GA
- NPI 1972209864
-
- Durable Medical Equipment & Medical Supplies
- Marietta, GA
- NPI 1982300877
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Wellstar Windy Hill Hospital
- Long Term Care Hospital
- Marietta, GA
- NPI 1700853041
Long-term care hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748995200000",
"number": "1376755538",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 CHURCH ST NE STE 520",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300607282",
"telephone_number": "770-419-9902",
"fax_number": "770-419-7457"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "790 CHURCH ST NE STE 520",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300607282",
"telephone_number": "770-419-9902",
"fax_number": "770-419-7457"
}
],
"practiceLocations": [
{
"address_1": "1060 Red Bud Rd NE",
"address_purpose": "LOCATION",
"city": "Calhoun",
"state": "GA",
"postal_code": "307012081",
"country_code": "US",
"telephone_number": "706-314-1919",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MEFFERD",
"first_name": "PAUL",
"middle_name": "L",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-03",
"last_updated": "2025-06-04",
"certification_date": "2025-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "2081P2900X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "GA",
"license": "054617",
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "GA",
"license": "54617",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003141012A",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NPI",
"identifier": "1710946322",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.