Sushanth Raghu Boda, DO

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

92204 Issued in GA

Practice address

3231 Highway 34 E Ste C
Newnan, GA 30265-6407

Phone

(678) 971-4167

NPI assigned

Jun 19, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

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

Specialty

Pain ManagementAlso: Anesthesiology

Education

Kansas City University of Med & Biosciences, College of Osteo Med, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Southern Pain and Spine Associates, LLC 19 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Piedmont Newnan Hospital, Inc Hospital, Newnan, GA, CCN 110229
• Piedmont Fayette Hospital Hospital, Fayetteville, GA, CCN 110215

Merit-based Incentive Payment System (MIPS)

Final score

84.67 of 100Reported as group

Quality

82.31

Promoting interoperability

97

Improvement activities

40

Cost

69.11

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/22722/brand/1/csg/1/fhir/r4
• Direct secure messaging: sushanth.boda.3@22722.direct.athenahealth.com

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.

• Southern Pain and Spine Associates LLC

  • Interventional Pain Medicine Physician
  • Gainesville, GA
  • NPI 1336744770

  GA, Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Athens Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Athens, GA
  • NPI 1467140327

  GA

  Medicare reassignment NPD
• Jasper Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Jasper, GA
  • NPI 1730842311

  GA

  Medicare reassignment NPD
• Newnan Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Newnan, GA
  • NPI 1740953447

  GA

  Medicare reassignment NPD
• Northeast Georgia Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Gainesville, GA
  • NPI 1265037600

  GA

  Medicare reassignment NPD
• Pca Interventional Spine at Fayette, LLC

  • Pain Clinic/Center
  • Fayetteville, GA
  • NPI 1447791074

  GA

  Medicare reassignment NPD
• Southeastern Interventional Pain ASC LLC

  • Ambulatory Surgical Clinic/Center
  • Atlanta, GA
  • NPI 1588994685

  GA

  Medicare reassignment NPD
• Southern Pain and Spine Associates, LLC

  • Durable Medical Equipment & Medical Supplies
  • Atlanta, GA
  • NPI 1548059835

  Interventional Pain Medicine

  Care Compare group NPD
• Sentry Anesthesia Management, LLC

  • Anesthesiology Physician
  • Newnan, GA
  • NPI 1134544794

  Multi-Specialty

  NPD (past)
• Southeastern Pain Ambulatory Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Atlanta, GA
  • NPI 1427083047
  NPD (past)
• Southern Pain and Spine Associates LLC

  • Interventional Pain Medicine Physician
  • Jasper, GA
  • NPI 1093469355

  Interventional Pain Medicine

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Fayette Community Hospital, Inc.

  • General Acute Care Hospital
  • Fayetteville, GA
  • NPI 1528027240

  Hospital

  Care Compare affiliation
• Piedmont Newnan Hospital, Inc.

  • General Acute Care Hospital
  • Newnan, GA
  • NPI 1134133002

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1497830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761868800000",
    "number": "1780114975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3231 HIGHWAY 34 E STE C",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302656407",
            "telephone_number": "678-971-4167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3231 HIGHWAY 34 E STE C",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302656407",
            "telephone_number": "678-971-4167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BODA",
        "first_name": "SUSHANTH",
        "middle_name": "RAGHU",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-19",
        "last_updated": "2025-10-31",
        "certification_date": "2025-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "GA",
            "license": "92204",
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "GA",
            "license": "92204",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": "MA",
            "license": "271781",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": "125071636",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Newnan, GA
• Interventional Pain Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.