Individual provider Active NPI

Vinaya K. Puppala, M.D.

  • Interventional Pain Medicine Physician
  • Atlanta, GA
National Provider Identifier
1548426810
Registry record updated Dec 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
71014 Issued in GA
Practice address
5505 Roswell Rd Ste 350
Atlanta, GA 30342-1995
Phone
(470) 827-3648
NPI assigned
Aug 5, 2008
Last updated
Dec 30, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 036126601 IL
Pain Medicine Physician 208VP0000X 71014 GA
Interventional Pain Medicine Physician 208VP0014X 71014 GA Primary

Addresses

Primary practice location

5505 Roswell Rd Ste 350
Atlanta, GA 30342-1995

Mailing address

403 Permian Way Ste D
Villa Rica, GA 30180-3226
Phone (470) 827-3648

Other practice location 1

403 Permian Way Ste D
Villa Rica, GA 30180-3226
Phone (470) 827-3648

Other practice location 2

705 Dallas Hwy Ste 205
Villa Rica, GA 30180-1243
Phone (470) 827-3648

Other practice location 3

939 Bob Arnold Blvd Ste G
Lithia Springs, GA 30122-3258
Phone (470) 827-3648

Other identifiers 1

IdentifierTypeStateIssuer
003142006MedicaidGA

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
I20140305000522 GA Practitioner - Pain ManagementPractitioner - Anesthesiology 6406086826 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology
Education
Washington University School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

34 Upper Riverdale Rd SE
Suite 203
Riverdale, GA 30274-2635
Phone (770) 627-7246

403 Permian Way
Suite D
Villa Rica, GA 30180-3226
Phone (770) 627-7246

4296 Memorial Dr
Suite C
Decatur, GA 30032-1227
Phone (770) 627-7246

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036126601ILMDPain Medicine (Anesthesiology) Physician
71014GAMDPain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Spine & Pain LLC Pain Medicine CurrentSince Dec 1, 2016 Accepting new patients
The Interventional Spine and Pain Management Center PC Pain Medicine CurrentSince Nov 4, 2014 Accepting new patients
The Interventional Spine and Pain Management Center, PC Interventional Pain Medicine CurrentSince Nov 4, 2014 Accepting new patients
CSP Anesthesia LLC CurrentSince Jan 4, 2026 Accepting new patients
CPM Labs, LLC Current Accepting new patients
Interventional Spine and Pain Management Ambulatory Surgical Center CurrentSince Aug 21, 2014 Accepting new patients
Comprehensive Spine & Pain, LLC Pain Medicine CurrentSince Dec 28, 2016 Accepting new patients
Cpmsc Canton, LLC CurrentSince Oct 10, 2014 Accepting new patients
Laser Spine & Pain Centers LLC Past Accepting new patients
Varinder K. Singh MD PC Past Accepting new patients

Locations

3390 Peachtree Rd NE
Ste 1500
Atlanta, GA 30326
Phone 40492049502501

3885 Princeton Lakes Way SW
Ste 400
Atlanta, GA 30331
Phone (404) 344-6575

3870 Medical Park Dr
Austell, GA 30106
Phone (770) 923-7778

134 Riverstone Ter
Ste 102
Canton, GA 30114

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

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

4296 Memorial Dr
Ste C
Decatur, GA 30032
Phone (513) 297-8318

1533 Pleasant Hill Rd
Duluth, GA 30096
Phone (770) 931-3434

1533 Pleasant Hill Rd
Ste 200
Duluth, GA 30096

939 Bob Arnold Blvd
Ste G
Lithia Springs, GA 30122
Phone (678) 943-3939

2550 Windy Hill Rd SE
Ste 310
Marietta, GA 30067

34 Upper Riverdale Rd SE
Ste 203
Riverdale, GA 30274
Phone (770) 907-7973

5505 Roswell Rd
Ste 350
Sandy Springs, GA 30342
Phone (470) 827-3648

403 Permian Way
Ste D
Villa Rica, GA 30180
Phone (470) 827-3648

705 Dallas Hwy
Ste 205
Villa Rica, GA 30180
Phone (770) 771-5230

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15247/brand/1/csg/1/fhir/r4
  • Direct secure messaging: vinaya.puppala.1@15247.direct.athenahealth.com

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1217894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767052800000",
    "number": "1548426810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 PERMIAN WAY STE D",
            "city": "VILLA RICA",
            "state": "GA",
            "postal_code": "301803226",
            "telephone_number": "470-827-3648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5505 ROSWELL RD STE 350",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421995",
            "telephone_number": "470-827-3648"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "403 Permian Way Ste D",
            "address_purpose": "LOCATION",
            "city": "Villa Rica",
            "state": "GA",
            "postal_code": "301803226",
            "country_code": "US",
            "telephone_number": "470-827-3648",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "705 Dallas Hwy Ste 205",
            "address_purpose": "LOCATION",
            "city": "Villa Rica",
            "state": "GA",
            "postal_code": "301801243",
            "country_code": "US",
            "telephone_number": "470-827-3648",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "939 Bob Arnold Blvd Ste G",
            "address_purpose": "LOCATION",
            "city": "Lithia Springs",
            "state": "GA",
            "postal_code": "301223258",
            "country_code": "US",
            "telephone_number": "470-827-3648",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PUPPALA",
        "first_name": "VINAYA",
        "middle_name": "K.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-05",
        "last_updated": "2025-12-30",
        "certification_date": "2025-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "IL",
            "license": "036126601",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "GA",
            "license": "71014",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "GA",
            "license": "71014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003142006",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.