Individual provider Active NPI

Richard M Belle Isle, M.D.

  • Interventional Pain Medicine Physician
  • Dalton, GA
National Provider Identifier
1871790451
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
104683 Issued in GA
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, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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, GA4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20120619000396 LA Practitioner - Pain ManagementPractitioner - Anesthesiology 0143484378
I20161103000131 MN Practitioner - Anesthesiology 0143484378 Reassigns benefits to 2 organizations
I20200303000221 TN Practitioner - Interventional Pain ManagementPractitioner - AnesthesiologyPractitioner - Pain Management 0143484378 Reassigns benefits to 1 organization
I20250805003271 GA Practitioner - Interventional Pain Management 0143484378 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain Management
Education
Other, 2007
Medicare assignment
May accept Medicare assignment
Group practices
Wellstar Medical Group LLCGroup PAC ID 6709065402, 3,059 clinicians
Georgia Pain and Wellness CenterGroup PAC ID 8527200864, 53 clinicians

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 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
204772LAMDPain Medicine (Anesthesiology) Physician
61260MNMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Health Services Interventional Pain Medicine Current Accepting new patients
Michael E Steuer MD PC CurrentSince Nov 27, 2019 Accepting new patients
Wellstar Medical Group, LLC CurrentSince Sep 1, 2025 Accepting new patients
Fairview Clinics CurrentSince Oct 16, 2017 Accepting new patients
Fairview Clinics Current Accepting new patients
Fairview Express Care CurrentSince Sep 28, 2016 Accepting new patients
Georgia Pain and Wellness Center Interventional Pain Medicine CurrentSince Jun 2, 2025 Accepting new patients
Fairview Clinics CurrentSince Oct 16, 2017 Accepting new patients
Comprehensive Pain Solutions, a Professional Medical Corporation CurrentSince Jun 1, 2021 Accepting new patients
Georgia Pain and Wellness Center Interventional Pain Medicine CurrentSince Jun 2, 2025 Accepting new patients
Wellstar Medical Group, LLC Current Accepting new patients
Fairview Health Services CurrentSince Sep 28, 2016 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.

View all 14

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

Verify at the official NPI Registry.