Southeastern Pain Consultants

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

SOUTHEASTERN PAIN CONSULTANTS

Practice address

1976 Main St E
Suite C
Snellville, GA 30078-6460

Phone

(770) 982-2099

Fax

(770) 982-9045

NPI assigned

May 24, 2007

Organization subpart

No

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

Authorized official

Name

Dr. William Paul Ives, M.D.

Title

Ceo

Phone

(678) 377-9326

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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

• Pamela S Ives, CRNA

  • Certified Registered Nurse Anesthetist
  • Lawrenceville, GA
  • NPI 1588602114
  NPD (past)
• Luther C Rollins III MD III, MD

  • Pain Medicine Physician
  • Atlanta, GA
  • NPI 1043228364

  Anesthesiology

  NPD (past)
• Kevin James Sheahan, MD

  • Pain Medicine (Anesthesiology) Physician
  • Newnan, GA
  • NPI 1902900582
  NPD (past)

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730851200000",
    "number": "1447461454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 HELENS MANOR DR",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300453469",
            "telephone_number": "678-377-9326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1976 MAIN ST E",
            "address_2": "SUITE C",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300786460",
            "telephone_number": "770-982-2099",
            "fax_number": "770-982-9045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEASTERN PAIN CONSULTANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A",
        "authorized_official_last_name": "IVES",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-377-9326",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Anesthesiology Physician in Snellville, GA
• Providers in Snellville, GA by specialty
• Anesthesiology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.