Organization Active NPI

Center for Spine & Pain Medicine PC

  • Interventional Pain Medicine Physician
  • Dalton, GA
National Provider Identifier
1952336133
Registry record updated May 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
CENTER FOR SPINE & PAIN MEDICINE PC
Practice address
1413 Chattanooga Ave
Dalton, GA 30720-2631
Phone
(706) 279-2635
Fax
(706) 279-2679
NPI assigned
Jul 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0014X Primary
Clinical Medical Laboratory 291U00000X

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 practice location 1

1940 Parker Ct Ste B
Stone Mountain, GA 30087-3456
Phone (706) 279-2635

Other identifiers 2

IdentifierTypeStateIssuer
DB9567OtherGARAILROAD MEDICARE
GRP6374OtherGAMEDICARE GROUP #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, GA4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
O20040510001095 TN Part B Supplier - Clinic/Group Practice 6709875297 Receives reassigned benefits from 3 practitioners
Practice locations: Chattanooga, TN; Stone Mountain, GA
O20040520000551 GA Part B Supplier - Clinic/Group Practice 6709875297 Receives reassigned benefits from 5 practitioners
Practice locations: Stone Mountain, GA; Gainesville, GA; Dalton, GA
O20110503000328 GA DME Supplier - Physician - Anesthesiology 6709875297 Practice locations: Dalton, GA
O20200527001742 GA Part B Supplier - Independent Clinical Laboratory 6709875297 Practice locations: Stone Mountain, GA

Other NPIs with the same Medicare PAC ID 3

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

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
11D1054832Center for Spine and Pain Medicine1940 Parker Court, Suite B, Stone Mountain, GA 30087AccreditationJun 10, 2028

National Provider Directory

National Provider Directory

Locations

1109 Burleyson Rd
Ste 102
Dalton, GA 30720
Phone (706) 272-6596

3997 Lawrenceville Hwy NW
Ste 5
Lilburn, GA 30047
Phone (678) 450-1222

7446 Shallowford Rd
#103
Chattanooga, TN 37421
Phone (706) 279-2635

7446 Shallowford Rd
#102
Chattanooga, TN 37421
Phone (423) 825-4930

7305 Jarnigan Rd
Ste 260
Chattanooga, TN 37421
Phone (423) 648-0380

Practitioners & affiliated clinicians

Practitioners 7

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": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747267200000",
    "number": "1952336133",
    "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": [
        {
            "address_1": "1940 Parker Ct Ste B",
            "address_purpose": "LOCATION",
            "city": "Stone Mountain",
            "state": "GA",
            "postal_code": "300873456",
            "country_code": "US",
            "telephone_number": "706-279-2635",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CENTER FOR SPINE & PAIN MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "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": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DB9567",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP #",
            "identifier": "GRP6374",
            "state": "GA"
        }
    ],
    "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 15, 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.