Organization Active NPI

Southern Pain & Spine Specialists PLLC

  • Pain Medicine (Anesthesiology) Physician
  • Matthews, NC
National Provider Identifier
1700350287
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
SOUTHERN PAIN & SPINE SPECIALISTS PLLC
Practice address
3081 Senna Dr
Matthews, NC 28105-6727
Phone
(833) 704-7246
NPI assigned
Jan 17, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2025

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

Authorized official

Name
Ammar A Alamarie, MDNPI 1588923817
Title
Owner
Phone
(833) 704-7246

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207LP2900X Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

3081 Senna Dr
Matthews, NC 28105-6727

Mailing address

3081 Senna Dr
Matthews, NC 28105-6727
Phone (833) 704-7246

Other practice location 1

105 Waxhaw Professional Park Dr Ste D
Waxhaw, NC 28173-5018
Phone (833) 704-7246

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20190620000001 NC Part B Supplier - Clinic/Group Practice 6406194182 Receives reassigned benefits from 1 practitioner
Practice locations: Matthews, NC
O20190826000326 NC DME Supplier - Physician - Interventional Pain Management 6406194182 Practice locations: Matthews, NC

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
34D2167814Southern Pain & Spine Specialists, PLLC3081 Senna Dr, Matthews, NC 28105Certificate of waiverJun 16, 2027

National Provider Directory

National Provider Directory

Locations

3081 Senna Dr
Matthews, NC 28105
Phone (833) 704-7246

105 Waxhaw Professional Park Dr
Ste D
Waxhaw, NC 28173
Phone (833) 704-7246

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1547683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748390400000",
    "number": "1700350287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3081 SENNA DR",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281056727",
            "telephone_number": "833-704-7246",
            "fax_number": "704-512-0507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3081 SENNA DR",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281056727",
            "telephone_number": "833-704-7246"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105 Waxhaw Professional Park Dr Ste D",
            "address_purpose": "LOCATION",
            "city": "Waxhaw",
            "state": "NC",
            "postal_code": "281735018",
            "country_code": "US",
            "telephone_number": "833-704-7246",
            "fax_number": "704-512-0507",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOUTHERN PAIN & SPINE SPECIALISTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-17",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A",
        "authorized_official_last_name": "ALAMARIE",
        "authorized_official_first_name": "AMMAR",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "833-704-7246",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Matthews, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.