NPIMap

Organization Active NPI

The Interventional Spine and Pain Management Center, PC

  • Interventional Pain Medicine Physician
  • Conyers, GA
National Provider Identifier
1518012004
Registry record updated Feb 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
THE INTERVENTIONAL SPINE AND PAIN MANAGEMENT CENTER, PC
Practice address
1388 Wellbrook Cir NE
Conyers, GA 30012-3872
Phone
(404) 920-4950
Fax
(404) 920-4959
NPI assigned
Jan 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2026

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

Authorized official

Name
Erin Sherrod
Title
Manager
Phone
(404) 920-4972

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0014X Primary

Addresses

Primary practice location

1388 Wellbrook Cir NE
Conyers, GA 30012-3872

Mailing address

3390 Peachtree Rd NE Ste 1500
Atlanta, GA 30326-2822
Phone (770) 929-9033

Other practice location 1

174 Highland Xing
Ellijay, GA 30540
Phone (404) 920-4950

Other names 1

  • Alliance Spine and Pain Centers Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20070130000066 GA Part B Supplier - Clinic/Group Practice 2769483031 Receives reassigned benefits from 96 practitioners
6 other NPIs on this enrollment
Practice locations: Dacula, GA; Douglasville, GA; Decatur, GA; Elijay, GA; Hiram, GA; Jasper, GA; Lawrenceville, GA; Lithonia, GA…
O20171206002489 GA Part B Supplier - Independent Clinical Laboratory 2769483031 Practice locations: Roswell, GA

Other NPIs with the same Medicare PAC ID 4

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

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D2336507Interventional Spine and Pain174 Highland Crossing, Ellijay, GA 30540Certificate of waiverJan 5, 2028

National Provider Directory

National Provider Directory

Locations

3152 Perimeter Pkwy
Augusta, GA 30909

2100 Central Ave
Augusta, GA 30904
Phone (706) 843-6241

3870 Medical Park Dr
Ste 110
Austell, GA 30106
Phone (404) 920-4972

3925 Peachtree Rd NE
Ste 200
Brookhaven, GA 30319
Phone (404) 231-4231

15 Medical Dr NE
Ste 301
Cartersville, GA 30121
Phone (770) 590-1078

1388A Wellbrook Cir NE
Conyers, GA 30012

1388 Wellbrook Cir NE
#A
Conyers, GA 30012
Phone (770) 385-7985

5303 Adams St NE
Ste B
Covington, GA 30014
Phone (678) 729-8590

3685 Braselton Hwy
Dacula, GA 30019
Phone (678) 546-9800

110 Evans Mill Dr
Ste 805
Dallas, GA 30157

110 Evans Mill Dr
Ste 804
Dallas, GA 30157

1080 Lumpkin Campground Rd S
#30
Dawsonville, GA 30534

1020 J L White Dr
Jasper, GA 30143

4799 Sugarloaf Pkwy
Ste G100
Lawrenceville, GA 30044

1295 Hembree Rd
Ste A101
Roswell, GA 30076
Phone (770) 752-9499

6255 Barfield Rd
Sandy Springs, GA 30328
Phone (404) 920-8492

6920 McGinnis Ferry Rd
Ste 360B
Suwanee, GA 30024

6920 McGinnis Ferry Rd
Ste 360A
Suwanee, GA 30024

809 W Bankhead Hwy
Villa Rica, GA 30180
Phone (770) 459-0035

Practitioners & affiliated clinicians

Practitioners 100

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

View all 100

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771459200000",
    "number": "1518012004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3390 PEACHTREE RD NE STE 1500",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303262822",
            "telephone_number": "770-929-9033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1388 WELLBROOK CIR NE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300123872",
            "telephone_number": "404-920-4950",
            "fax_number": "404-920-4959"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "174 HIGHLAND XING",
            "address_purpose": "LOCATION",
            "city": "Ellijay",
            "state": "GA",
            "postal_code": "30540",
            "country_code": "US",
            "telephone_number": "404-920-4950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THE INTERVENTIONAL SPINE AND PAIN MANAGEMENT CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2026-02-19",
        "certification_date": "2026-02-19",
        "status": "A",
        "authorized_official_last_name": "SHERROD",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "404-920-4972"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alliance Spine and Pain Centers",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Alliance Spine and Pain Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Conyers, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.

Verify at the official NPI Registry.