NPIMap

Organization Active NPI

Center for Spine & Pain Medicine, PC

Doing business as CSPM Ambulatory Surgery

  • Ambulatory Surgical Clinic/Center
  • Dalton, GA
National Provider Identifier
1669428983
Registry record updated Aug 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
155-336 Issued in GA
Legal business name
CENTER FOR SPINE & PAIN MEDICINE, PC
Doing business as
CSPM Ambulatory Surgery
Practice address
1413 Chattanooga Ave
Dalton, GA 30720-2631
Phone
(706) 279-2635
Fax
(706) 279-2679
NPI assigned
May 26, 2006
Last updated
Aug 4, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
CENTER FOR SPINE & PAIN MEDICINE, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 4, 2025

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

Authorized official

Name
Mr. Suleman Sohani
Title
Practice Administrator
Phone
(706) 279-2635

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 155-336 GA Primary

Addresses

Primary practice location

1413 Chattanooga Ave
Dalton, GA 30720-2631

Mailing address

1413 Chattanooga Ave
Dalton, GA 30720-2631
Phone (706) 279-2635

Other identifiers 2

IdentifierTypeStateIssuer
435371871AMedicaidGA
P00346261OtherGARAILROAD MCARE INDIVIDUAL

Other names 1

  • CSPM AMBULATORY SURGERY Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060905000131 GA Part B Supplier - Ambulatory Surgical Center 6709875297 Receives reassigned benefits from 3 practitioners
1 other NPI on this enrollment
Practice locations: Dalton, GA

Other NPIs with the same Medicare PAC ID 3

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

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Center for Spine Pain Medicine PC Dba CSPM Ambulatory SurgeryCCN 11C0001283
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Center for Spi NE Pain4 organizations share this tax ID, including this one
Part of
Center for Spi NE Pain

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754265600000",
    "number": "1669428983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1413 CHATTANOOGA AVE",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307202631",
            "telephone_number": "706-279-2635",
            "fax_number": "706-279-2679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1413 CHATTANOOGA AVE",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307202631",
            "telephone_number": "706-279-2635",
            "fax_number": "706-279-2679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR SPINE & PAIN MEDICINE, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTER FOR SPINE & PAIN MEDICINE, PC",
        "enumeration_date": "2006-05-26",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-04",
        "status": "A",
        "authorized_official_last_name": "SOHANI",
        "authorized_official_first_name": "SULEMAN",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "706-279-2635",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "GA",
            "license": "155-336",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "435371871A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MCARE INDIVIDUAL",
            "identifier": "P00346261",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CSPM AMBULATORY SURGERY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dalton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2025; 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.