Individual provider Active NPI

Paul L Mefferd, D.O.

  • Interventional Pain Medicine Physician
  • Marietta, GA
National Provider Identifier
1376755538
Registry record updated Jun 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
54617 Issued in GA
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, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
003141012AMedicaidGA
1710946322OtherGAGROUP 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070626000262 GA Practitioner - Interventional Pain ManagementPractitioner - Physical Medicine and Rehabilitation 0143329508 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain ManagementAlso: Physical Medicine and Rehabilitation
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 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
054617GAMDPain Medicine (Physical Medicine & Rehabilitation) Physician
54617GAMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Spine and Rehab Specialists of Ga CurrentSince Jul 2, 2007 Accepting new patients
Physicians Spine and Rehab Specialists of Ga CurrentSince Jul 2, 2007 Accepting new patients
Physicians Spine and Rehab Specialists of Ga CurrentSince Jun 8, 2025 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.