NPIMap

Organization Active NPI

Relief Spine and Pain Center LLC

  • Pain Medicine (Anesthesiology) Physician
  • Fort Payne, AL
National Provider Identifier
1598539140
Registry record updated May 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
RELIEF SPINE AND PAIN CENTER LLC
Practice address
1403 Old Water Works Rd SW
Fort Payne, AL 35968-3353
Phone
(770) 403-2403
NPI assigned
Nov 14, 2023
Last updated
May 6, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2024

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

Authorized official

Name
Dr. Asmitha Kathleen Sathiyakumar, MDNPI 1518223718
Title
President
Phone
(256) 646-7246

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X NU Primary

Addresses

Primary practice location

1403 Old Water Works Rd SW
Fort Payne, AL 35968-3353

Mailing address

1825 Glenn Blvd SW Ste 343
Fort Payne, AL 35968-3533
Phone (770) 403-2403

Other identifiers 1

IdentifierTypeStateIssuer
MD47655OtherALALABAMA STATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240404000898 AL Part B Supplier - Clinic/Group Practice 1052759446 Receives reassigned benefits from 7 practitioners
Practice locations: Fort Payne, AL

National Provider Directory

National Provider Directory

Locations

1403 Old Water Works Rd SW
Fort Payne, AL 35968
Phone (256) 646-7246

1825 Glenn Blvd SW
Fort Payne, AL 35968
Phone (256) 845-5999

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BCGEDD

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1699920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714953600000",
    "number": "1598539140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 GLENN BLVD SW STE 343",
            "city": "FORT PAYNE",
            "state": "AL",
            "postal_code": "359683533",
            "telephone_number": "770-403-2403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1403 OLD WATER WORKS RD SW",
            "city": "FORT PAYNE",
            "state": "AL",
            "postal_code": "359683353",
            "telephone_number": "770-403-2403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELIEF SPINE AND PAIN CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-14",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A",
        "authorized_official_last_name": "SATHIYAKUMAR",
        "authorized_official_first_name": "ASMITHA",
        "authorized_official_middle_name": "KATHLEEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "256-646-7246",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALABAMA STATE LICENSE",
            "identifier": "MD47655",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Payne, AL

Sources for this page

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

Verify at the official NPI Registry.