Individual provider Active NPI

Rathi Lakshmi Joseph, DO

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Woodstock, GA
National Provider Identifier
1578705331
Registry record updated Mar 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
96645 Issued in GA
Practice address
300 Parkbrooke Place
Woodstock, GA 30189-7250
Phone
(770) 929-9033
NPI assigned
Mar 25, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X 96645 GA
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 96645 GA Primary
Physical Medicine & Rehabilitation Physician 208100000X 96645 GA
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X 96645 GA

Addresses

Primary practice location

300 Parkbrooke Place
Woodstock, GA 30189-7250

Mailing address

3390 Peachtree Rd NE Ste 1500
Atlanta, GA 30326-2822

Other practice location 1

400 Tower Rd
Marietta, GA 30060-9415
Phone (404) 920-4950

Other practice location 2

3870 medical park dr
austell, GA 30106-1110
Phone (404) 920-4950

Other identifiers 2

IdentifierTypeStateIssuer
003298631CMedicaidGU
003298631AMedicaidGA

Other names 1

  • Dr. Rathi Lakshmi Ravikumar Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140902001107 FL Practitioner - Sports MedicinePractitioner - Physical Medicine and Rehabilitation 6901024033 Reassigns benefits to 1 organization
I20240205002670 GA Practitioner - Pain Management 6901024033 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain Management
Education
Midwestern University, Chicago College of Osteopathic Med, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Interventional Spine and Pain Management Center PCGroup PAC ID 2769483031, 51 clinicians

Practice addresses (Care Compare)

1388 Wellbrook Necir a
Conyers, GA 30012-3872
Phone (770) 929-9033

3400 Chapel Hill Rd
Douglasville, GA 30135-1739
Phone (770) 929-9033

3870 Medical Park Dr
Austell, GA 30106-1110
Phone (770) 929-9033

Hospital & facility affiliations

  • Wellstar Kennestone Regional Medical Center Hospital, Marietta, GA, CCN 110035
  • Northside Hospital Cherokee Hospital, Canton, GA, CCN 110008
  • Piedmont Hospital, Inc Hospital, Atlanta, GA, CCN 110083
  • Wellstar Cobb Medical Center Hospital, Austell, GA, CCN 110143
  • Wellstar Windy Hill Hospital Long-term care hospital, Marietta, GA, CCN 112007

Merit-based Incentive Payment System (MIPS)

Final score
83.66 of 100Reported as group
Quality
74.46
Promoting interoperability
99
Improvement activities
40
Cost
71.9

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
96645GAMDSports Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
PRC Associates LLC CurrentSince Oct 1, 2014 Accepting new patients
The Interventional Spine and Pain Management Center PC Interventional Pain Medicine CurrentSince Jan 23, 2024 Accepting new patients
The Interventional Spine and Pain Management Center, PC Interventional Pain Medicine CurrentSince Jan 23, 2024 Accepting new patients
CPM Labs, LLC Current Accepting new patients
Anesthesia Dynamics LLC Interventional Pain Medicine Past Accepting new patients

Locations (25 of 35)

517 Health Blvd
Daytona Beach, FL 32114
Phone (386) 274-1005

1671 N Clyde Morris Blvd
Ste 100
Daytona Beach, FL 32117
Phone (386) 274-2977

750 W Plymouth Ave
#B
Deland, FL 32720
Phone (386) 740-1123

761 Stirling Center Pl
Lake Mary, FL 32746
Phone (386) 274-2977

501 S Orange St
New Smyrna Beach, FL 32168
Phone (386) 274-2977

2720 Rebecca Ln
Ste 104
Orange City, FL 32763
Phone (386) 456-1160

1545 Hand Ave
Ste A1
Ormond Beach, FL 32174
Phone (386) 274-2977

21 Hospital Dr
Ste 120
Palm Coast, FL 32164
Phone (386) 586-2280

1165 Dunlawton Ave
Ste 101
Pt Orange, FL 32127
Phone (386) 760-0815

2061 Peachtree Rd NE
Atlanta, GA 30309
Phone (404) 352-3522

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

3885 Princeton Lakes Way SW
Atlanta, GA 30331
Phone (404) 349-0496

1367 Interstate Pkwy
Augusta, GA 30909
Phone (706) 863-3135

3152 Perimeter Pkwy
Augusta, GA 30909

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

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

3925 Peachtree Rd NE
Brookhaven, GA 30319
Phone (404) 355-1285

134 Riverstone Ter
Canton, GA 30114

2205 Riverstone Blvd
Canton, GA 30114

812 S Park St
Carrollton, GA 30117
Phone (770) 834-7436

15 Medical Dr NE
Cartersville, GA 30121
Phone (770) 386-5221

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

1388 Wellbrook Cir NE
Conyers, GA 30012

5303 Adams St NE
Covington, GA 30014
Phone (404) 786-0643

970 Sanders Rd
Cumming, GA 30041

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1237939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773878400000",
    "number": "1578705331",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 PARKBROOKE PLACE",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301897250",
            "telephone_number": "770-929-9033"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Tower Rd",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "GA",
            "postal_code": "300609415",
            "country_code": "US",
            "telephone_number": "404-920-4950",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3870 medical park dr",
            "address_purpose": "LOCATION",
            "city": "austell",
            "state": "GA",
            "postal_code": "301061110",
            "country_code": "US",
            "telephone_number": "404-920-4950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOSEPH",
        "first_name": "RATHI",
        "middle_name": "LAKSHMI",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-25",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "GA",
            "license": "96645",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "GA",
            "license": "96645",
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "GA",
            "license": "96645",
            "primary": false
        },
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "GA",
            "license": "96645",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003298631C",
            "state": "GU"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003298631A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RATHI",
            "last_name": "RAVIKUMAR",
            "middle_name": "LAKSHMI",
            "prefix": "DR.",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Woodstock, GA

Sources for this page

Verify at the official NPI Registry.