Active NPI
Richard M Belle Isle, M.D.
- Interventional Pain Medicine Physician
- Dalton, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- 104683
- Practice address
- 1504 N Thornton Ave Ste 103
Dalton, GA 30720-8394 - Phone
- (770) 962-3642
- Fax
- (770) 962-3643
- NPI assigned
- Jun 28, 2007
- Last updated
- May 28, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 204772 | LA | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 61260 | MN | |
| Interventional Pain Medicine Physician | 208VP0014X | 104683 | GA | Primary |
Addresses
Primary practice location
1504 N Thornton Ave Ste 103
Dalton, GA 30720-8394
Mailing address
455 Philip Blvd Ste 140
Lawrenceville, GA 30046-8768
Phone (770) 962-3642
Other practice location 1
1103 Kaliste Saloom Rd Ste 208
Lafayette, LA 70508-5784
Phone (337) 234-3757
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA, MN, TN, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Pain Management
- Education
- Other, 2007
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
1120 15TH St
Augusta, GA 30912-0004
Phone (706) 721-8623
1504 N Thornton Ave
Suite 103
Dalton, GA 30720-8394
Phone (770) 962-3642
5150 Stilesboro N W Rd
Suite 220
Kennesaw, GA 30152-7742
Phone (770) 424-8222
989 Saint Sebastian Way
Augusta, GA 30912-0004
Phone (706) 721-2171
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 204772 | LA | MD | Pain Medicine (Anesthesiology) Physician |
| 61260 | MN | MD | Pain Medicine (Anesthesiology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairview Health Services | Interventional Pain Medicine | Current | Accepting new patients |
| Michael E Steuer MD PC | Current | Accepting new patients | |
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Fairview Clinics | Current | Accepting new patients | |
| Fairview Clinics | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| Georgia Pain and Wellness Center | Interventional Pain Medicine | Current | Accepting new patients |
| Fairview Clinics | Current | Accepting new patients | |
| Comprehensive Pain Solutions, a Professional Medical Corporation | Current | Accepting new patients | |
| Georgia Pain and Wellness Center | Interventional Pain Medicine | Current | Accepting new patients |
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Fairview Health Services | Current | Accepting new patients |
Locations
1504 N Thornton Ave
Ste 103
Dalton, GA 30720
Phone (706) 278-5275
5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222
455 Philip Blvd
Ste 140
Lawrenceville, GA 30046
Phone (787) 618-5889
1103 Kaliste Saloom Rd
Ste 208
Lafayette, LA 70508
Phone (337) 234-3757
15650 Cedar Ave
Ste 160
Apple Valley, MN 55124
Phone (952) 997-4170
14101 Fairview Dr
Ste 300
Burnsville, MN 55337
Phone (612) 273-5400
303 E Nicollet Blvd
Ste 160
Burnsville, MN 55337
Phone (952) 460-4000
1440 Duckwood Dr
Eagan, MN 55122
Phone (651) 406-8860
400 Stinson Blvd
Minneapolis, MN 55413
Phone (612) 672-2258
911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313
5200 Fairview Blvd
Wyoming, MN 55092
Phone (651) 464-4611
2908 S Lamar Blvd
Ste 300
Oxford, MS 38655
Phone (662) 236-5442
122 Airways Pl
Southaven, MS 38671
Phone (662) 349-9426
1365 W Brierbrook Rd
Germantown, TN 38138
Phone (901) 531-8549
1004 Greystone Sq
Jackson, TN 38305
Phone (731) 664-1773
Organizations & group practices 14
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Summit Spine and Joint Centers
- Interventional Pain Medicine Physician
- Lawrenceville, GA
- NPI 1356781181
-
dba WellStar Family Medicine ACW
- Family Medicine Physician
- Kennesaw, GA
- NPI 1558664003
-
dba Fairview Clinics-Hiawatha
- Primary Care Clinic/Center
- Minneapolis, MN
- NPI 1346432218
-
- Pain Medicine Physician
- Lafayette, LA
- NPI 1396732178
-
- Emergency Medicine Physician
- Minneapolis, MN
- NPI 1811077175
-
- Specialist
- Cordova, TN
- NPI 1861824559
-
dba Summit Spine & Joint Centers
- Interventional Pain Medicine Physician
- Newnan, GA
- NPI 1427820190
-
- Multi-Specialty Clinic/Center
- Marietta, GA
- NPI 1275992240
-
- Primary Care Clinic/Center
- Saint Paul, MN
- NPI 1396552147
-
dba University of Minnesota Physician Heart at Fairview - Lakes
- Specialist
- Wyoming, MN
- NPI 1346587805
-
dba Fairview Hospital University
- General Acute Care Hospital
- Minneapolis, MN
- NPI 1013994359
Interventional Pain Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748390400000",
"number": "1871790451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "455 PHILIP BLVD STE 140",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300468768",
"telephone_number": "770-962-3642",
"fax_number": "770-962-3643"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1504 N THORNTON AVE STE 103",
"city": "DALTON",
"state": "GA",
"postal_code": "307208394",
"telephone_number": "770-962-3642",
"fax_number": "770-962-3643"
}
],
"practiceLocations": [
{
"address_1": "1103 Kaliste Saloom Rd Ste 208",
"address_purpose": "LOCATION",
"city": "Lafayette",
"state": "LA",
"postal_code": "705085784",
"country_code": "US",
"telephone_number": "337-234-3757",
"fax_number": "337-234-3733",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BELLE ISLE",
"first_name": "RICHARD",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-28",
"last_updated": "2025-05-28",
"certification_date": "2025-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "LA",
"license": "204772",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "MN",
"license": "61260",
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "GA",
"license": "104683",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 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; 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.